HomeMy WebLinkAbout047-070-006044-7 - 0-70 - 10(o
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S.L YRON VI(M
�'k'�E/S Hwy 99, 12 mi. 7N/C'bico, m ---
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SUBDIV. :)CCt'P.
. 047-070-106 02 71
1 —
IN ED TE ISSUED
DATE ISSUE WILLIAMS, KENT, INALE TE ISSUED
WHUNG 6�7
16404 HWY. 99. CHICO '7-31-0
, ;-7 ;31
NEW 200 AMP SERVIC
047-070-106 02- 0
WILLIAMS, KENT INAL!ED;
.7 �31 0_3
16404 HWY. 99, CHICO, TQ
RE -ROOF & PLBG. IN BA
TYPE OF
PERMIT
PERMIT NO.
PLAN NO.
REMARKS
047-070-106 05-31 '92
SNYDER
16404 HWY 99, CHICO
Cont: OWNER
GARAGE -DET
I —
047-070-106 06-0512
SNYDER, LOREE
16404 HWY 99, CHICO 4
CONT: OWNER
ADDITION
of
PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U —USE PERMIT HIM —HOUSE MOVING
P—PLUMBING TV — RAD I O -TV ANTENNA V—VARIANCE EP — ENCROACHMENT
DEPARTMENT OF T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT D — DEMOLITION 600.1
BUILDING AND SAFETY
law
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INSPECTION RECORD
BUILDING APPROVALS
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. PLUMBING APPROVALS
PERMIT NUMBERs
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
LIANCES & VENTS
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERs I I
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
MISCELLANEOUS APPROVALS
PERMIT NUMBERs I I
DESIGNATION SIG.
DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
a
Butte County Department of Development Services -
IN 0 T E S 7 County Center Drive. Orovil(e, CA 95965
(530) 538-7601
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RES I DENT11AL
Tm� C-0 U 6-/L AD ail
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(LS .&I- APIN: Permit No.
-6512
Owner 047-070-106- 2
SNYDER, LOREE
Z126107- 0,,qs Site Address: 16404 HWY 9§,.CHICO
Aco -,(EST
Contractor CONT: OWNER
7 ADDITION
S�77( L
Type of Permit:
I�- - - — - --
c)S - 319 Z
Bldg Permit: OFFICE Copy
Address:
GAS By: _—Da te:12:
Electric By: --------- �Date:
SPECIAL CONDMONS
CHECKEDBY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HILTH CLEARANCE
DATE JOB FINALED4
SIGNATURE:
Hw( 7'�
R,s4 , is ro,� I e --s
OK
MANUFACTURED HO-M.ES
MISCELLAN.EOUS.
DATE PERMANENT FOUNDATION Lj SOFT -SET
I Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaIIIC/O-Concrete
4 Wtr; Loctn-Test-Easement Needed-Re§ulator
5 Elec Loctn-Cirncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-T6st-Wrap N.t 0 or LPO
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C . 10 to Grade
12 Gas and Electricity Tagged
13 Tie Downs F-1 Foundation
14 Exits
15 Cert of Occupancy
IG HUD Label/Insignia Numbers Serial Numbers
DATE IDECKS*COVERS*CARPORTS'GARAGES
I Zoning -Setbacks -Easements
2 Ftgs; Soils -Sz-Dpth-S paci ng -C n n ctrs -Stee I
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Sht.hg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enc Isrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof-, Shthg-Roofing
III Ext; Steps -Doors -Landings
12 Braced Wall prils
DATE IPOOLS
I Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls]Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w15'-CrcItng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Encisrs�prilboards-Insultri to Main Conduit
9 Health Dept Apprvl
10 PImb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
4�-
Pool Drawing
OK
Not OK
DATE RESIDENTIAL (SIngla & D)�plex'
JU,&WE R F L 0 0 R UA I L= WL U M 6 1 N G $ r'. Z . O'l 1jZ ! I
—(,I �09 -Setbacks-Easem en ts-FI oad-S lope ' .
2 g Main; Soils-Elec Grnd Ftg Dpth
g,-WGarage; Soils -Steel-Elec Grnd Ftg Opth.
tg Porches/Decks; Soils -Steel Ftg Dpth
5 Sternwalls Main-, Steel -Blockouts-Wra pped
Sllernwalls arage; Steel-B(ockouts-Wrappecl
0, i. B h.
Hold D ns and Special Anchrs
s
�ej
[a teel Wrapped
t' V
r._FrplcFtg-Steel OM -C-14 dcis
rs-F'Plc I
V V_
. it -Fitting -Test -2 -way C/O ewer est
; Fall F,
U U as
. pi.,
as Pipe; Sz Anchrs-Sz Test
tr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Cirnc-Material-Support4nsultn
14 Girders-Sills-Anchr Bolts J oists-Vnts -C ripples
15 Acc & VntItn
1G.Insulation
&
Is'
DATE [fRAM I NG X. -ja , U_ I JC- V
17 Sills Proper Materifils & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Bea4-ns-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties -Pu r1i n -Roof Brac-Truss-Shthg
25 Frp1c Ties or Type A Flue-Frplc Throat CImc
26 Attic Acc; Sz & Rmx: Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Pun-Landing-Fire Prtc:tn
32 Plywd on Roof Ovrhng-AtLic Vnts-Rftr Oub7grs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fridtri Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts S -5-E AO-r&S
37 Brace Int/Ext Wall prils
38 Insultn-Walls-Ceilings
39 Infiltration-Walls-Wndws
R'
_DATE JELECT ICAL
40 Fxtr & Trnsfrmr ClKc4n's Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp, Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 AppInc Circs in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz: 9a CU or DAL
AC Wire Sz 92 CU or D AL
48 Range Circ i;;. DCU or nAL
Oven Circ ga F-1 cu or F-1 AL
Insulated Neutral ED Yes F-1 No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
53 Wtr Htr; Vent-Acc-Cnibstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prictn
55 DWV; Test Fittings & Anchr Nail. Prtctn
56 Shwr Pan; Test First flr-Tub Acc
57 Test Tub & Shwr, 2nd flr - Tub-Acc
58 Gas Pipe; Sz & Anchrs
AFire Sprinkler; Test
60
'�Yard Gas Piping
le -I
1�1
I UA I t 44M E C H A N I C A L V- ( (J - ) I 141 � %4 - I
6`1 AC Ducts lnsultn &Sup -port
62 Vent Fan, Exhaust abv lnsultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet
65 Attic Acc & PItfrm if Furnacein attic
e ' 041
4;�
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpril, Breaker Sts & Labels
73 Stairs, Guard/Handrails
.74 Frple or Stove, Cimc-Hearth
.75 Elec Outlets at Wood Pn 1, Int & Ext
.76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cookinb Clrnc
.77 Elec Outlets & Rcptcls at Ktchn Counter
.78 Garage Fire Door; Swing -Landing -Closure
79 AC Duct in Garage -Damper
- 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; �bv fir
. Mech Prtctn; LPG AppInce Undr House 3" drain
.81 PImb; Elec & Mech Eqp Listed for Lottri
.82 Elec. Rcptcls in Garage (GFI) Romex Ortctn
_B3 lnsultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 CIrnc: Drnge Planters E]Yes [_]No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, PImb-AppInc-FrpIc-CIrnc to Opngs
- 90 Wtr Well, Dscnnct, Elec, PImb i
91 Ext Elec. Trim, GFI Rcptcl-Undrgrnd
92 VntItn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
- 95 Gas Test -Meters Tagged, Gas-Elec
- 96 Wtr & Sewer Cnnctd-CfO to grade -HD Apprvl
97 Energy CmpIncCert-OtherCerts;
9B Address Posted
99. Fire Sprinkler
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060512
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: 04/20/2006 APN: 047-070-106-000
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.
Site Address: 16404 HWY 99 CHI
License Class License Number:
Mapindex:
Date: Contractor:
Description: ADDITION (624)
OWNER -BUILDER DECLARATION
1 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: SNYDER, DENNIS AND LOREE
permit to construct, alter, improve, demolis ' h, or repair any structure, prior
16404 HWY 99
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
CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95973
7000) of Division 3 of the Business and Professions Code) or that he or
530-520-9110
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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
Applicant: SNYDER, DENNIS AND LOREE
Code: The Contractors' State License Law does not apply to an
16404 HWY 99
owner of property who builds or improves thereon, and who does
CHICO, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95973
sale. If however, the building or improvements are sold within one
530-520-9110
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
1, 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
Contractor:
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.).
C3 I am Exempt under Article 3 of the Busin rys and P f sion C d
Date: �-&Owner<:a---,,,
License #:
WORKERS' COMPENSXTION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
EI I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
0 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 624 S. F.
Valuation: $40,560.00
Policy #:
Census Code:
`71F, I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicaft. 121-iZ
V
WARNING: - Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to crim.inal 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
Thig permit is t the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
;re�bissued �4der
Resolutions ro J k indic d above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
By:_ Date:
Name:
I
PERMIT EXPIRES 01�-�..
Address:
(Date)
ZI 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.
El Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
El Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
7
Owner 0 Contractor 0 Agent for Owner El Agent for Contractor
B. C. Building Permit 01-16-04 pg I
JUL-26-2007 03:20 PM
20 07 123 1
Buft Couft A
TIM IN11111011011111, VAIC'
7 Center 0 #a
CA
(930) 634- '"n
S �YDERELECTRIC
ittmi" of DOVOkW11`11160t SOMC"
I P2T% CALAMO, AIWAW D111111WOR
5 530 899 9119
REQUEST TO USE PkX WATER 14ft
Suildin
i)DI[vialon approval r*quilrod pdor to the Iristaltatton of PEX V�
07
Pormft Number: A.P-N
Property Add Chy
PEX Manufactv r, T�O i (Vk�olsru%Gturees Phone NurnW:'; j
Installer's
�1�— Phone Number
request approval to use PEX water pipe at the
Deb
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Vnder Sectlon 3�)1.2 of the Caftrnla Plumbing Code (AlternOve Materleds and Meth").
Authority may all'PW the us* of PEX tubling for both hot and oold p�otsble water distrlixft�n.
I iij
After caTvNii PvW�w of all the Inf9rmation submfttW and additional sur" of other jurlsolq
use of PEX tubing. we have oome lo the cord,uslon that PEX tubIng Is a viable eftematl*
1, AJI PEX Oln*g must be listed and approved by ICC, IAPIVIO or other nationally re6c
andtor ng 6
F n '
2. Al, PEX�injaj InQ'Ilations muet comply wtth the manufacturer's 11SOng/5 and lanst J�
3. A oopy ol i e InoWliallon Instructions must be made aviwebW to the Mold Inspoc
4� All PF -x ploing shall be kept clear of room light ftxturve, heat conducting flue
materts,19,j1hat could cause phyOccel damage,
5. Ail Pon Ions In or thro4h fIrs, rated asaembVes shall be protecilaid Wfth an ap
Submil r� dome 6f such Ili"Ing prior to the Installation of all piping. (Irmfud[Ing'marl,
geMe, op�,ypfwy s"ration or 11"ll).
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pipe
25-4-9 7
2.
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address.
i
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dor the fb1IQwIr.
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Dn Instructions,
to on $Ite.
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Ya Installed in tI--
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Suildin
i)DI[vialon approval r*quilrod pdor to the Iristaltatton of PEX V�
07
Pormft Number: A.P-N
Property Add Chy
PEX Manufactv r, T�O i (Vk�olsru%Gturees Phone NurnW:'; j
Installer's
�1�— Phone Number
request approval to use PEX water pipe at the
Deb
Z' -
DAN so
Vnder Sectlon 3�)1.2 of the Caftrnla Plumbing Code (AlternOve Materleds and Meth").
Authority may all'PW the us* of PEX tubling for both hot and oold p�otsble water distrlixft�n.
I iij
After caTvNii PvW�w of all the Inf9rmation submfttW and additional sur" of other jurlsolq
use of PEX tubing. we have oome lo the cord,uslon that PEX tubIng Is a viable eftematl*
1, AJI PEX Oln*g must be listed and approved by ICC, IAPIVIO or other nationally re6c
andtor ng 6
F n '
2. Al, PEX�injaj InQ'Ilations muet comply wtth the manufacturer's 11SOng/5 and lanst J�
3. A oopy ol i e InoWliallon Instructions must be made aviwebW to the Mold Inspoc
4� All PF -x ploing shall be kept clear of room light ftxturve, heat conducting flue
materts,19,j1hat could cause phyOccel damage,
5. Ail Pon Ions In or thro4h fIrs, rated asaembVes shall be protecilaid Wfth an ap
Submil r� dome 6f such Ili"Ing prior to the Installation of all piping. (Irmfud[Ing'marl,
geMe, op�,ypfwy s"ration or 11"ll).
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by.
[wo: i-zl'
'2�
QW&kA- - OWWM RW - ftpwV Ovww - CantmaWt
pipe
25-4-9 7
2.
5
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address.
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3 Administradvo
ns allowing the
dor the fb1IQwIr.
i
lz.ad testIng
Dn Instructions,
to on $Ite.
Let or other
J listed system.
Ya Installed in tI--
P. 02
t
INSUI ATION
CERTMCATE
Job Number:
)LOREE & DENNY SNYDER 116404 HWY 99, CHICO CA
Contractor/O,wrier Name Job Address (street, ciih,, state)
IBUTTE
Countv Subdivision Name Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material: I
Thickness (inches):
2. CEILING
Batt or Blanket Type:,l Fiberglass
Thickness (inches): 1 12
Loose FM Type: I Fiberglass
Minimum Instafled Weight/ft 1 .569 lb
Manufacturer's installed weight per square foot to
3. EXTEMOR WALL
Frame Type: I I
A. Caviih, Insulation
Material: I Fiberglass
Thickness (inches): 1 31/2
B. Exterior Foam Sheathing
Material: I i
Thickness (inches): I
4. RAISED FLOOR
. Material: I I
Thickness (inches): I
5. SLAB FLOOR/PERIMEETER
Material:
Thickness (inches): I
Perimeter Insulation Depth Inches:
6. FOUNDATION WALL
Material:
Thickness (inches): I
Brand Name:
Thermal Resistance (R -Value):
Brand Name: Knauf
Thermal Resistance (R -Value): 38
Brand Name: I Knauf
Minimum Thickness: 13 1 inches
achieve Thermal Resistance (R -Value): 38 1
Brand Name: Knauf
Thermal Resistance (R -Value): 13
Brand Name: I
Thermal Resistance (R -Value): I
Brand Name: I
Thermal Resistance (R -Value): I
Brand Name: I
Thermal Resistance (R -Value): I
Brand Name: I
Thermal Resistance (R -Value):
DECLARATION
I hereby certify that the above insulation was instaffed in the building at the above location in conformance with the current
Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the
Certificate of Compliance, where applicable. I
2 & 3 O-quaLff - - - /c -S-11,07
Ll Whico Insulation & Fireplaces
Item Number's Signature and Date Instaffing Subcontractor (Co. Name) or
Item Number's Signature and Date
General Contractor (Co. Name) or Owner
I I
Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive Oroville, CA (5301) 538-7541
CORRECTION NOTICE,
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 call for re -inspection when correction ov
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
Date Inspector lj6c)
( 7,-)
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
p4
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA e (530) 538-7541
CORRECTION NOTICE
A,
Date Inspector
REV 4/05
Phone #
ps
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
O%��EA
PERMIT NO.
A routine insp ection indicates that the following violations
of Butte County Ordinances exist at
the above address and should be corrected. Ple
e call for re -inspection when correction of
work is completed. If you have any questions
ertaining to this matter, or need additional
explanation, please contact the Building Inspect
as indicated below.
PE
A,
Date Inspector
REV 4/05
Phone #
ps
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
7, ........
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
PERMIT NO.
ON N E
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the abo e address and should be corrected. Please call for re -inspection when correction of
work i completed. If you have any questions pertaining to this matter, or need additional
expl ation, please contact the Building Inspector as indicated below.
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T .' REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538'7636 OR 891-2834
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FOR RE -IN . SPtCTIdN:' ALL: -
'C '5 -7636 OR 891-2834
OF BUTTE''
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive 9 Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the follow ing violations of Butte County Ordinances exist at
the above address and should be corrected. Please-,6all for re -inspection when correction of
work is completed / If you have any questions pe�ftaini , ng to this matter` or need additional
explanation, plea contactth Buildinal ector as-inclicated below.
IVY
�1/ V
FOR RE -IN . SPtCTIdN:' ALL: -
'C '5 -7636 OR 891-2834
COUNTY OF BUTTE ...... ......
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
C
, N\ [N\C12- CL- os- I
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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
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REV 4/05 Phone # S
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
q.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive e Oroville, CA * (530) 538-7541
CORRECTION NOTICE
SIP, �:4 - 6 5) 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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
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REV 4/05 Phone # t5
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive 9 Oroville, CA,, (530) 538-7541
CORRECTION NOTICE
'_�' - i 11-1 . ( -11 L�' %_� 4-f I 9___ I 11�_
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte C8unty Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
woi,kis If you have any questions pertaining to this matter, or need additional
tFompi,eted.
exf ana ion, p ease contact the Building Inspector as indicated below.
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Date Inspector
REV 4/05 Phone#
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
0 I'D
OWNER PERMIT NO.
f
V- ' -
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
Work is completed If you have any questions pertaining to this matter, or need additional
explanation, please contact the.Building Inspector as indicated below.
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REV 4/05
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�013 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT 'd
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060512
PERMITS BECOME NULL AND VOID I 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: 04/20/2006 APN: 047-070-106-000
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.
Site Address: 16404 HWY 99 CHI
License Class License Number:
Map Index:
Date: Contractor:
Description: ADDITION (624)
OWNER -BUILDER DECLARATION
1 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: SNYDER, DENNIS AND LOREE
permit to construct, alter, improve, demolish, or repair any structure, prior
16404 HWY 99
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
CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
95973
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
530-520-9110
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
Applicant: SNYDER, DENNIS AND LOREE
Code: The Contractors' State License Law does not apply to an
16404 HWY 99
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
CHICO, CA
provided that such improvements are not intended or offered for
95973
sale. If however, the building or improvements are sold within one
530-520-9110
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1, 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
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 am Exempt under Article 3 of the Busin and P fessions Cod
D a te: Y--& -0 (0 Own e rl,�'DZ
License #:
WORKERS' COMPENS N DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
0 1 have and will maintain workers' compeniation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 624 S. F.
Valuation: $40,560.00
Census Code:
Policy #:
10K I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: 6L-Z2-nQ(2
Applicant:_
V
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.
b
-9
CONSTRUCTION LENDING AGENCY
This permit is reb issue d the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (See 3097 Civ.)
Resolutions o k indic d above for which fees have been paid
6 - 64
Name:
By: Date.
Address:
PERMIT EXPIRES' Ott
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: 1-�Z, 'i Signature:
01-
Date: 70--Dd
�
.
Owner C3 Contractor Q Agent for Owner 0 Agent for Contractor
B. C. Building Permit 01-16-04 pg I
fr, BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (53 A) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last NarqD.
irst Name
L _,6 Y -e
Address?. 5c�' 0
City- k,
k-41 ( C-0
StatW
_ 41
City
Ph,no -5-010
Fax
E-mail J,
z
APPLICANT NAME
CONTRACTOR
Name
ki e- r'
Address
Zip
City
Fax
State
Zip
Phone
Bo 7��
Fax
E-mail
Lic. #
Class
APPLICANT NAME
ARCHITECTIENGINEER
Name
city
Address
Zip
City
Fax
State
Zip
Phone
Bo 7��
Fax
E-mail
State License Number
APPLICANT NAME
Name owne')"'
Address
city
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
I
X
V
For oifice use only: V
Zoning
I IV - q0I
Flood Zone
I �' I
SRA
K Yes I
No
Occ. I
Type Const.
Subdivision Name Map
Bo 7��
Name
I 'o"
IDate Approved:
PERMIT
NO.
BP06 10 5-/
1 BIN 4
A—]'51 -]
LOCATION
AP# --7,"1
67 L/7-0 /c/ -161)6
Properl�Address
t/ov
city
Cross Street I
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
A
/-'r>D/776yNJ
Sq. Footage
• Structure Built without Permits
• Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the "piration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan c4eckyd and other departmept costs are not
refundable. I/
OVER FOR SUBMITTAL REQUIREMENTS I I
K:\F0RMS\BLJ1LD1NG F0RMS\BldgApp1SubRqmts.doc Page 1 of 2
Received by:
W
Receipt #: Qq 6-�71
4
me I
RA
Sheriff
SMIP
Total
REV 6-16-04
SUBMITTAL 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. ALLPLANSMUSTBE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
C1 I . 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
0 2. 3 Complete sets of plans, signed by the preparer. N6 GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
Ei 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
Ei 4. Letter from Engineer or Architect for truss design review.
* 5. 2 Energy compliance design and supporting documentation. (Note: Not requiiedfor additions to
mobile or modular homes.)
* 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
ci 7. Detached Accessory Building Form, filled out by the property owner (if required).
[1 8. Sanitation and site plan approval from the Environmental Health Department.
ci 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamRed and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
C1 I . 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
o 2. 2 Data sheets and installation instruction manual.
o ' 3. 2 Marriage line information.
ci 4. 2 Floor plans.
ci -5. 2 Engineered Tie Downs or Foundation plans.
o -6. Sanitation and site plan approval from the Environmental Health Department.
ci 7. - 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
0 1 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
0 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
b 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
* 4. Letter from Engineer 'or Architect for truss design review.
* 5. 2 Energy compliance design and supporting documentation (if required).
ci 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
o 7. Statement of Intent for Non -heated and A/C (if required).
ci 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be sj..�!Wed and wet -signed by the engineer.
0 9 Letter of intent.
El 10. Hazardous Material Form.
13 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04
TO: Building Division -�- Development Services .
FROM: Environmental Health
Plot Plan Atbadwd
Floor Plan
Sent to BDIDS
ZIJ6 76
SUBJECT: Sanitation Clearance
-,0 e,,L snjidrx VI0q f�wlj 07v-(06
Owner Location AP#
Plan Approved for: Sewage Disposal: X Water Supply: Public Private Well
Clearance for dwelling. Other Ojvj ll*rx!4 f'Do y),, acA A Ii -hon, 044. 6cj
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health S'p`6'cialist
Building Clearance 9/2005
Date
COUNTY 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
7 /6r
OWNER: 5/V ev 5/7-0 740 - IP
ASSESSOR PARCEL NUMBER
A_,p
Proposed Building Use: Permit Technician: 0-7) Date: -3-u/
tems required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordir-to apply.
/V 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
rJ 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.
0 4. Engineered truss details and layouts in duplicate. No faxesl
5. Letter from Engineer or Architect for truss design review.
AJ 6. Energy compliance design and supporting documentation in duplicate.
El 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 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 en-ginee .
\�0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
E] 11. Hazardous Material Form
14 12. Acknowledgement of building permit application without required clearances.
0 13. Other
\raining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. San ' itation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable -
0 15. Fire Sprinklers ............................................................................................
0 16. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-..
0 17. Soils Report and/or Engineered Foundation required ................................
C61 18. Erosion Control Plan Required .............................................................
19. Fees as shown on the attached Schedule of Fees Due Sheet ...................
�0 20. City of Chico Plumbing permit ........................................................................
0 21. Site plan and business license approval from the City of
22. California Department of Forestry plan approval EYpia-ig."�ent by:
23. Planning approval for (A) Use: -ye
(B) Parking: _(C) Parcel Check: .1 eS. .... q4"
0 24. Contact Land Development about Improvements, Drainage ................ y .......
25. Fire Marshall Review (commercial projects only). Sent by: . .........
2 6. NPDES Form ............ ; ......................................................................
27. Encroachment Permit for driveway from the Public Works Dept ................. *
El 28. Contractor's license information. (Number, Name Style, Classification) ...................
29. Worker's Compensation Carrier and Policy Number...
/IV 30. Owner -Builder Verification ( - Given to owner, -Ma*i'le*'d'
0 31. Letter of Signature authorization ..............................................................
0 32. Recorded copy of Agricultural Acknowledgment Statement .................................
0 33: Existing violations and/or expired permits .........................................................
0 34. Deed Restriction ..........................................................................................
0 35. 0 Legal description, 0 M.H. Title, title search, registration or MCO .........................
0 36. Other:
0 37. Other:
When issued Telephone Z-0y2&7C_ 5720 _91/0 and hold for pickup.
I have been informeA of the above items and requirements for obtaining a building permit.
Applicant: //\ 1"4Z t Date:
1. Index permit alIplical Finn Orth -e above i msnulb,�fr_ Plan Check Letter
2. Additionalit s reguiped /471,
ne h, ;�t
d of b h, nh,
Contractor, cle go �owner was adO*se _� fl -one, 0 mail, 0 counter, by V,F). Date:___q/IQQCb
Contractor, designer, owner, was advised of the above data b phone, 0 mail, 0 counter, by Date:
Contractor, designer, owner, was advised of the aboye dqta by 0 phone, 0 mail, 0 counter, by Date:
Plans reviewed by: Date:
Z0106 Plans approved by: _7? -Date: 11"-/0"
Structural reviewed by:_:�� -Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner Snyder, loree APN No: 047-070-106
Application Date 3/6/2006 Permit No: BP 06-0512 Permit Type: addition
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $1,072.31
Plan Check portion of Permit Fee $428.92 $643.39 Balance of Building Permit Fee
2
3
FEMA RYes Flood Elevation Review $109.98 0
SRA* x Yes Fire Plan Check - Non -Refundable $95.00 $95.00 $204.98
(State R,esponsibility Area) . Building Inspection $109.98 $109.98
NON-REFUNDABLE portion of fees due at application - $523.92
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT
Balance of Building Permit Fees (from No. I above)
SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
Additional Plan Check Fees (NON-REFUNDABLE)
Other*:
Other*:
12 SCHOOL DISTRICT FEES*
12a RECREATION DISTRICT FEES*
RECEIPT
NW3
$643.39'([*)
$4.06qSo 11)
Tech/Asst
Kt:L;t:IF I UA I t: Tech/Asst
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant: Date: __I/� /6 (�o
Pursuant to GovernWi& -code Selt(bn 6601q, —you are hereby notified those Items Tollowed by an "" may have been imposed on you� project. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(a). K/Building/Forms/Schedule of Receipt Fees Residential 121205
BUTTE COUNTY SCHOOLS IMPACTYEE CERTIFICATION FORM
(One form per Building)
ft'lw
WO 5 Q—
School District
Building I No.
A.P. Number oq7—olo- Jurisdiction:
city =County
Property Owner
Property Location/Address
Subdivision
Lot No.
Residential Development
.............
...........................................................
Sq. Footage'
No of Living
Mobile Home
Addition/
*Supplemental to
(Group. R)
Units
Installation
Conversion Pefmit #
.............................................
*(No foundabon i
Commercial/industrial ' =
New Addibon
Building
Deed Restricted Sq. Footage
"e�tiacll a signed copy of Deed Restriction and Notice of Limited Use Facility document),
Sq. Footage
(including Exte rior
Roofed Areas)
-6ate
-4;4 1 �<:�* 11 fre
District Identification No.
School District certifies that
(Applicant)
(Street Addrbss) (Phone Number)
(City)
has complied with the requireriients of Resolution No.
representing square feet.
- I, -
School District Representative
Paid by Check # / Remarks:
(State)'
(Zip Code) -
by payment'of $ 1,99�9, 26
B 2926
ULL MITIGATION $
Ualff
Node@: You may protest the Imposition of the fen IdentIfied above by submitting a w. Otto protest.to the DWct, In c=r0lance with
Governawnt Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wrktan protest will prohibit
you ftm challenging the Imposition of the few In any coik action.
W, subsequeM to the School District Representative signing Oft Butte County Schools I p Fee CoMeation Form, the School DbWd is
notified by the applicable Local Planning Agency VW this projed Is be" reviewed under the Calffornis Environmental QuOty i Act (CEGA).
this profect may be a~ to additional school fees to fully rnhigate Its Impact an the school distrIct's'schools.
White (school district), Yellow (building department),PInk (applicant). fteformids (=5wm
61 . . .
do
.V-
0 LJ VAI
U0
D ep a rtm e rit
..0 o u n t -Y
J. Michael CrUMP. Direetor
of Publi.c Works
o f B U t..t e
LAND DEVELOPMENT DWON
Storm Water Management Program
7 C6unty Center Dri.ve
Oroville. CA 95 965
(3530) 538-7-266
(FAX) 538-7171
National Pollutant DiscMrge Elimination System- (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Po"llution Prevention
Plan (SWPPP) Acknowledgement rLESS THAN I ACRE
Project Description -
Pro ect Location and/or Parcel Number: Ik 40�9 /040
j 73
By sigj�ing below, L the project ownedowner's agent, cerffy that this project WILL NOT DISTURB
I acre or more of land and that L therefore, do not nee� to apply for a Construction StormWater Permit
h7o.m the State of Califomia Regional Water Quality Control'Board. Phased projects that contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Pen7nit from the State* of
California Regional Water Quality Control Board -
I am aware that submittinc, false and/or inaccurateinformation or failure to. apply for a Construction
Storm Water Permit from the State of Caffirida Regional Water Quality Control Board for a project.
that disturbs one acre or more of land may result in revocation of grading and/or -other permits or other
sanctions provided by law.
Si gned:
Title:
Date:
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I . I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES NO
2. 1 HAVE HAVE NOT signed an application for a building permit for the proposed
work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
N ANM
ADDRE SS:
PHONE: CONTRACTOR'S LICE14SE NO:
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NANM:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE. TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE:
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.
Rev'd 11/4/2004
Butte County Department ofDevelopment Services
ADMINISTRATION * BUILDING * GlS * PLANNING
7 County Center Drive
Oroville, CA .95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has'been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner-buildee' 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 perirdt in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract you should be
aware of the following infonnation 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 $200 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 government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
• There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
• For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information ' about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owneis who are not licensed contractors are aliowed to perform their
work personally or through their own employees, -Aithout a licensed contractor or subcontractor, only under Wnited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building pen -nit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
Butte CoujityDepartznciitof'Developi.7,el,tSeI _Wces
$0 T Irr
7 County Center brive
0
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
00
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not I' ited to, Planning, Environmental Health, Land Development,
imi
County Fire, and Agriculture.
I hereby acknowledge:
I need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
e I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrangefor disposition ofp1ans.
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 f6es.
Within one year ' from the date of application for a building permit, all other required permits and clearances
from other entities must be obtaindd for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required perm . its/clearances include, but are not Ji "ted to, v6rification the parcel was
Ira] I
legally - created, - adherence.. to. all mitigations and, conditions imposed on the parcel at time of creati on, as wel I
as zoning requirements, legal access, and applli�able set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
ApplicantNafhe: Loy -e -e- sylvdcr
B.uil ding site address:
A.PN:
Permit No.:
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 arid my signature below:
ffGI�ATURE FAPP ANT DATE
Copy to Applicant/EHMI.- K--Fomis/BldgPermitwithoutClearances 020705
�7_
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * PLANNING
March 10, 2006
Loree Synder
P.O. Box 604
_Cb -i -co, Ca.. -95927-
Assessor Parcel Number: 047-070-106
Building Permit Number: 06-0512
Thank you for submitting the plans for your building project. The plans have been reviewed and
comments are listed below. Please respond in writing to each item by completing and returning the
enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re-
check and approval of this project.
COMMENTS:
,4'. Call out the size and spacing of new roof rafters and ceiling joist at the addition.
Provide the beam sizes for the covered porches. Include post caps and base hardware. Is the front
porch roof supported by a ridge beam or are you using c6ling joist or rafter ties? Clarify on plans.
The 2"x 8" rafters @ 24"o.c. spanning 18'-0" at the front porch are over spanned. Try a spacing of
16"o.c.
4. Return 2 corrected sets of plans for review.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00
p.m. and 4:00 p.m., Monday through Friday.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you
/applied ' r your permit.) The counter staff will answer any questions concerning the Data Sheet.
Jim Peterson Philo Hunt, P.E.
Plans Examiner Plan Check Engineer
'j. QAN REVIEW RESPO S ORM
'In order to expedite the reNiew of yofflFans, please complete the following L?inZrm5tAWd return this forra with your re-submittaL
this form is not complete, as to all correction iteras, we will not be able to accept your re -submittal for review. There must be a va
response to every item requested in our plan correction letter. "By others7 is not considered a valid response. Please indicate yc
response to each item and the location where the information can be found on the plans/calcs.
ATTACH THIS FORM TO A COPY OF YOUR PLAN MIEW LOTER AND RMRN WITH RMSED AND ORIGINAL PLANS.
OWNERS NAME DATF-*
ASSESSORS PARCEL NUMBER PERMIT NUMBER
OZ117— 070 061-0 5-1Z
it �6� 7
`�uffimr-r". AVise-1
)CATION ON PLANS/(
Al � A, 3
PLAN CHECK ITEM #
RESPONSE BY.
RESPONSE Sr.
162-/
CIC,41 , -
LOCATION ON PLANS/CALCS:
ICOMMENTS:
0
FAVeelld"-gE O.J A-
hr 5, .0 6;�
PLAN CHECK ITEM #
RESPONSE BY.
LOCATION ON PLANSICALCS:
f
COMMFXTS*.
0
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR'
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * PLANNING
March 10, 2006
Loree Synder
P.O. Box 604
Chico, Ca. 95927
Assessor Parcel Number: 047-070-106
Building Permit Number: 06-0512
Thank you for submitting the plans for your building project. The plans have been reviewed and
comments are listed below. Please respond in writing to each item by completing and returning the
enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re-
check and approval of this project. li-Ar _5
<3 C,
COMMENTS.
Call out the size and spacing of new roof rafters and ceiling joist at the addition.
oi� ' 11
Provide the beam sizes for the covered porches. Include post caps and base hardware. Is the front
por
cl ch roof supported by a ridge beam or are you using ceiling joist or rafter ties? Clarify on plans.
The 2"x 8" rafters @ 24"o.c. spanning 18'-0" at the front porch are over spanned. Try a spacing of
�10.c.
Return 2 corrected sets of plans for review.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00
p.m. and 4:00 p.m., Monday through Friday.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you
applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. .
Jim Peterson Philo Hunt, P.E.
Plans Examiner Plan Check Engineer
Mefford, Alice
From: Furmanski, Richard
Sent: Thursday, June 26, 2008 9:55 AM
To: Mefford, Alice; Johnson, Louis; Mannel, Kevin
Subject: All Reviews have been cleared for Permit B08-0936
1.
6/26/2008
Page I of 1
Page I of I
Mefford, Alice
.......................................................................................................................................................................................................................................
From: Jones, Darren -
tent: Thursday, June 26, 2008 10:30 AM
To: Mefford, Alice; Johnson, Louis; Mannel, Kevin
Subject: All Reviews have been cleared for Permit B08-1061
6/26/2008
"I
Butte County Department of Development Services. AREA
N 0 T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-76ai vAvw.bqttecounty nqyq0S
R E S I D E N T I A L
APN: Permit NO.
Owner. 047-070-106 0 5 - 3 1
SNYDER
Site Address.'
16404 HWY 99; CHICO
Contractor Cont: OWNER
GAR -AGE -DET
Type of Permi
SPECIAL CONDITIONS
CHECKED BY
F�sRA
FLOOD CER-nFjCATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION rrEms
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
Ej ENCROACHMENT'PERMFT
[—] REINSPECTION FEE PAID
El ENV HLT)i CLEARANCE
-T P_'0
JP J4 S
6-1
/d&A(Z- TIEHAM(A- (fO. 0&(C -
DATE JOB FINALED:
OK
0 Not OK
MANUFACTURED HOMES
PERMANENT FOUNDATION L_.j SOFT -SET
I Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/0-Concrete
4 Wtr; Loctn-Test-Easement�Needed-Re�ulator
5 Elec Loctn-Cirncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-T6st-Wrap Nat 1:1 or LPF–)
Inch Sz — Ft Lingth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas-, MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs
10 Drain; MH Test -Fall -Flex Cnnctr
I I Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs Foundation
14 Exits
15 Cert of Occupancy
16 HUD Labellinsignia Numbers Serial Numbers
MISGELLANEOUS
DATE JDEC��COVERS'CARPORTKGARAGE S)
�4-1ro-1 -
�onj��- etbacks-Easements
%2_9kq9*_, Soils-Sz-Dpth-Spacing-Cnnctrs-SteeI
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; P6sts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
6 Carports; Wndws-Ddors
ctric LLFFfL Ole_
S ills -Anchrs -Studs -Rftrs-Tru sses
,<If-J6v'j- A'S��g,,Nailing-Veneer-Stucco-Lath
VI'lloof- Shthg-Roofing
Steps -Doors-Lan d ings
7 *.9.V6e2A-2traced Wall pnIs
30OLS
I Setbacks -Easements
2 Soils; Compacrion-Structure Stability
3 Pool Structure-, Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcis/Lting; Distance-GFI
5 Elec Pool Lting;. 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Gmdng; Eqp w15'CrcItng Eqp-Pool Ightg
Bokes-Enclsirs-prilboards-Insultin to Main Conduit
9 Health Dept ApprvI
10 PImb; Cir Test-Wtr Supply Test
11 Lt Niche.
'12 Encisr; Fencing -Alarms
13 Bonding, Urving board or Slide
0
Drawing
4e
MISGELLANEOUS
DATE JDEC��COVERS'CARPORTKGARAGE S)
�4-1ro-1 -
�onj��- etbacks-Easements
%2_9kq9*_, Soils-Sz-Dpth-Spacing-Cnnctrs-SteeI
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; P6sts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Encisrs
6 Carports; Wndws-Ddors
ctric LLFFfL Ole_
S ills -Anchrs -Studs -Rftrs-Tru sses
,<If-J6v'j- A'S��g,,Nailing-Veneer-Stucco-Lath
VI'lloof- Shthg-Roofing
Steps -Doors-Lan d ings
7 *.9.V6e2A-2traced Wall pnIs
30OLS
I Setbacks -Easements
2 Soils; Compacrion-Structure Stability
3 Pool Structure-, Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcis/Lting; Distance-GFI
5 Elec Pool Lting;. 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Gmdng; Eqp w15'CrcItng Eqp-Pool Ightg
Bokes-Enclsirs-prilboards-Insultin to Main Conduit
9 Health Dept ApprvI
10 PImb; Cir Test-Wtr Supply Test
11 Lt Niche.
'12 Encisr; Fencing -Alarms
13 Bonding, Urving board or Slide
0
Drawing
OK
Not OK
RESIDENTIAL (Single
& Duplex)
DATE UNPERF OOR
DATE
IPLUMBING
Wning -Setbacks-Easernents -Flood-S lope
53 Wtr Htr: Vent-Acc-Cmbstn Air Baffle
—
Y/Ftg Main; Soils-Elec G^d Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils -S tee I-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 Sternwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd Rr - Tub-Acc
6 Stemwalls Garage; Ste el-B(ockotits-Wra pped
58 Gas Pipe; Sz & Anchrs
61 H Id Downs and Special Anchrs
59 Fire Sprinkler; Test
I
7 lab, Steel Wrapped
VFP'iz�
60 Yard Gas Piping
rs-FrpIc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
ij Wtr Pipe; Test-Anchrs-Rgiti-Service Test
12 Elec Undrgrnd
DATE
IMECHANICAL
13 Plenums & Ducts; Clrnc-Material-Support-Insultn
61 AC Ducts Insultn &Support
14 Girders-Sills-Anchr Bolts �J oists -Vnts -Cripples
62 Vent Fan, Exhaust abv lnsultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet
65 Attic Acc & PItfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr ries-Purlin-Roof Brac-Truss-Shthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Cliannel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fn�tri Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn -SkyLts-Plas tic
36 Sjpetr Walls; Nailing -Bolts
- .210'Brace Int/Ext Wall pnis
38 lnsultn-Walls-Ceilings
39 lnfiltration-Walls-Wndws
DATE JELECTRICAL
40 Fxtr & Tmsfrmr CImc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & SWitches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 AppInc Circs in Ktchn & Cndctr Sz GF1 —1 AL
47 Subfeed Wire Sz ga CU or [_
AC Wire Sz ga CuorDAL
48 Range Circ Ej CU or 0 AL
Orven Circ El cu or FIAL
Insulated Neutral Ej Yes E]No
49 Service -Riser Cndctrs & Grnd Main Dsr-nnct
50 Eqp CIrrics pnis-Motors-Mech Eqp
51 Clothes Closet U-Shwr U -Spa U
52 Smoke Detector
F I N A L
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
6a Furnace Vnts-Clrnc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & SubpnI, Breaker Sts & Labels
73 Stairs, GuardlHandrails
74 Frple or Stove, Cimc-Hearth
75 Elec Outlets at Wood Prill, Int & Ext
76 Ktchn, Fxtr & AppInc; Gmd-Air-Gap-Cooking Clmr-
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
.81 Plmb; Elec & Mech Eqp Listed for Loctn
.82 Elec Rcptcls in Garage (GFI) Romex Ortctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
.86 CIrnc Drnge Planters FlYes F-1 No
87 Stucco Brown -Finish
.88 AC Unit Dscnnct, Elec-Plmb
. 8§ Vnt:s aby Roof, PImb-AppInc-FrpIc-CIrnc to Opngs
.90 Wtr Well, Dscnnct, Elec, PImb
.91 Ext Elec Trim. GFI Rcptr-I-Undrgrnd
92 VntItn thru House
.93 Glass Prtctn
94 Corrections from previous Inspctns
- 95 Gas Test -Meters Tagged, Gas-Elec
- 96 Wtr & Sewer Cnnctd-C/O to grade -HD Appryl
97 Energy CmpInc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
41* ld�
—0
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA e (530) 538-7541
CORRECTION NOTICE
<::51A L:;f We_ -V*'_ L9 �__ ; / �i _"
OWNER I - PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
F
CA -C, PS 'r C' n
Lk 5-
4L' 7 Z�; 1-- 0 -
Date Inspector
REV 4/05 Phone # _5
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
-COUNTY OF BUTTE ..............
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive 9 Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
6�w �,F
e;v
Date 1� Inspector 12
REV 4/05 Phone #
FOR RE -INSPECTION bALL:�'538-7636 OR 891-2834
--z '1:r"-:...��
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO53192
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under Issued Date: 12/30/2005 APN: 047-070-106-000
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. Site Address: 16404 HWY 99 CHI
License Class License Number:
Map Index:
Date: . Contractor:
OWNER -BUILDER DECLARATION Description: DETACHED GARAGE(672)
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: SNYDER, LOREE AND DENNIS
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a PO BOX 604
signed statement that he or she is licensed pursuant to the provisions of CHICO, CA.
the Contractors State License Law (Chapter 9 commencing with Section 95927
7000) of Division 3 of the.Business and Professions Code) or that he or
she is exempt therefroriv and the basis for the alleged exemption. Any 530-520-9110
/' 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 Applicant: SNYDER, LOREE
Code: The Contractors' State License Law does not apply to an 16404 HWY 99
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees, CHICO, CA
provided that such improvements are not intended or offered for 95973
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of (530) 520-9110
proving that he or she did not build or improve for the purpose of
sale.).
1, 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 Contractor:
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.).
C3 I am Exempt under Article 3 of the Business and Professions Code
Date: aj�Q �—Owner:
WORKERS'COMPENSATION DECLAMATION License #:
I hereby affirm under penalty of perjury one of the following declarations:
0 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 Architect:
is issued. Engineer:
0 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:
Carder: Total Square Ft: 672 S.F.
Policy #: Valuation: $16,128.00 AA
5( 1 certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicanti.���
WARNING: Failure to secur 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 permit is her issued uqaer �Pe app ble provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resolutions to work indicat d ove I whic fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) � r / / '?
Name: By:_ Date:
PERMIT EXPIRES ON:
Address: (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 authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
" /I �J Signature:
Print Name: 'D
Date: - ./,-7— 32
Owner Q Contractor 0 Agent for Owner El Agent for Contractor
8. C. Building Permit 01-16-04 pg 1
COUNTY OFBUTTE
RE E 441762
4�
OFFICE -OR E ENT ISSUING RECEIPT 20-(Z
Receivedl from
The Sum of Z��--.e "//0 C) 0 0
Fo Ag=�a4pL.� /(0 �(O!�
Received:
Received By
CASH [:]
Tii
CHECK By
DAVCO BUSINESS FORMS - (530) 743-13511 Fann A4702
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT -1
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO53192
B. C. Building Permit 01 -16-04 pg 1
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 12/30/2005 APN: 047-070-106-000
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.
Site Address: 16404 HWY 99 CHI
License Class License Number:
Map Index:
Date: Contractor:
Description: DETACHED GARAGE(672)
OWNER -BUILDER DECLARATION
the
I hereby affirm under penalty of perjury that I am exempt fromJ
Contractors' State License Law for the following reason (Sec. 7031.5
.s
Business and Professions Code: Any city or county which requires a
Owner: SNYDER, LOREE AND DENNIS
permit to construct, alter, improve, demolish, or repair any structure, prior
PO BOX 604
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
CHICO, CA.
the Contractors State License Law (Chapter 9 commencing with Section
95927
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
530-520-9110
violation of Section 7031.5 by any applicant for a permit subjects the
pplicant 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
Applicant: SNYDER, LOREE
Code: The Contractors' State License Law does not apply to an
16404 HWY 99
owner of property who builds or improves thereon, and who does
CHICO, CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95973
sale. If however, the building or improvements are sold within one
(530) 520-9110
year of completion, the owner -build ' er will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Plrdfessions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of �roperty who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Ell I am Exempt under Article 3 of the Business and Professions Code
Date: ,�-��Owner:
License #:
WORKERS' COMPENSATION DECLAffATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performahce of the work for which this permit
is issued.
Engineer:
Q 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 carrier and policy number are:
Total Square Ft: 672 S. F
Carrier:
Policy #:
Valuation: $16,128.00
Census Code:
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 the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: -30
Applicant:,/2��_ d�2�
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 permit is her issued url6er �Oe appi . �pable 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 is issued (Sec 3097 Civ.)
Resolution work indical ove f wh c fees have been paid.
s to
performance permit
By: Date:
Name:
2-
Address:
PERMIT EXPIRES ON: (Date)
C3 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.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
L3 Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pu -poses.
Print Name: I-- Signature:
t
Date:,
Owner E3 Contractor 0 Agent for Owner 0 Agent for Contractor
B. C. Building Permit 01 -16-04 pg 1
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 -CHICO: (530) 891-2834 BPC)5'31q2,
OFFICE#: (530) 538-7541 BIN
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
� "PLEASE PRINT CLEARLY"
OWNER
Last Name irst me
Y) V Ap K
Address 14-
t I
ci,yc, — - I
Phone Fax —
_�;30 zo-q 6) S 97
E-mail
APPLICANT SIGNATURE
For 6ffice use only: 7 0==.
CONTRACTOR
Name
I Flood Zone
Address
P0. '80 j
City
I
State
Zip
Phone
7110
Fax
E-mail
Planner
Uc. #
C
APPLICANT SIGNATURE
For 6ffice use only: 7 0==.
ARCHITECTIENGINEER
Name
I Flood Zone
Address
P0. '80 j
City
I
State
_71p.
Phone
7110
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
For 6ffice use only: 7 0==.
APPLICANT NAME
Name
I Flood Zone
Address
P0. '80 j
Cil
I
Stat
Type 0onst.
Phone
7110
lax
;s3e)
E-mail
Planner
APPLICANT SIGNATURE
For 6ffice use only: 7 0==.
Zoning
I 4-'LJD
I Flood Zone
I
SRA
I (Yes)l
No
Occ. I
Type 0onst.
Subdivision Name Map
Book
Page
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
LOCATION
AP#
0�
Property Add ess
city
C'ro s treet
W09KFRIR COMPENSATION
Policy Number
Carder
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage 62 a
Z 2,
0 Structure Built without Permits
El 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
required.
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 21q.q6 Bldg
Qnq q'g SRA
Receipt #1 Sheriff
SMIP
IDate: Other
'JA. q?_1 Total I
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
forapermit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALLPLANSMUSTBE
LEGIBLE AND ININK
Residential, New, Remodels, Additions, and Accessory Structures:
E3 I . 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
0 2. - 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
0 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
F -i 4. Letter from Engineer or Architect for truss design review.
El 5. 2 Energy compliance design and supporting documentation. (Note: Not requiiedfor additions to
mobile or modular homes)
Ei 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
ci 7. Detached Accessory Building Form, filled out by the property owner (if required).
F -i 8. Sanitation and site plan approval from the Environmental Health Department.
o 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stgMped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
0 1 . 3 Site Plans, signed by the preparer. NO GR,4PHPAPER!
ci 2. 2 Data sheets and installation instruction manual.
ci ' 3. 2 Marriage line information.
Ei 4. 2 Floor plans.
C1 5. 2 Engineered Tie Downs or Foundation plans.
ci 6. Sanitation and site plan approval from the Environmental Health Department.
o 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
0 1 . 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
ci 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
* 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
* 4. Letter from Engineer or Architect for truss design review.
o ' 5. 2 Energy compliance design and supporting documentation (if required).
0 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
[1 7. Statement of Intent for Non -heated and AJC (if required).
Ei 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and cales in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Ei 9. Letter of intent.
0 10. Hazardous Material Form.
0 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 6-16-04
!it
n r%
115PO53M�
COUNTY 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: *Z,) ml A -to ASSESSOR PARCEL NUMBER Oq-7-0-70-1 QC0
Proposed Building Use: N-fwhpA 6arnM Permit Technician: K. 6 - -Date:
Iteds required in order to apply for a permit. All box6s MUST be checked OR marked NA in order to apply.
Y,,aN 1 . site planO D3r 4 sets, signed by the preparer of the plans.
\K MN 2. Complete pian0or 4 sets, signed by the preparer of the plans.
0 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.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Frid 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 enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
0 11. Hazardous Material Form
12. Acknowledgement of building permit application without required clearances.
13. Other
.0ning items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. San * itation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable
0 15. Fire Sprinklers .............................................................................................
C1 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by-..
0 17. Soils Report and/or Engineered Foundation required ....................................
El 18. Erosion Control Plan Required .................. : ..................................................
19. Fees as shown on the attached Schedu16 of Fees Due Sheet ....................... ---
20. City of Chico Plumbing permit ........................................................................ 1Q0
0 21. Site plan and business license approval from the C>t of Biggs .....................
e'
California Department of Forestry plan approval\EJ paid. Sent by:
Planning approval for (A) Use:
L-tB)l5arking: arcel Check: ............ 0
0 24. Contact Land Development about - Improvements, - Drainage ........................
El 25. Fire Marshall Review (commercial projects only). Sent by:
'-�JN 26. NPIDES Form .....................................................................
0 27. Encroachment Permit for driveway from the Public Works Dept ................. .........
0 28. Contractor's license information. (Number, Name Style, Classification) ...................
0 29. Worker's Compensation Carrier and Policy Number .... I ......................................
30. Owner -Builder Verification ( - Given to owner, -Mailed to owner) .....................
31. Letter of Signature authorization ....................................................................
0 32. Recorded copy of Agricultural Acknowledgment Statement .................................
11 33. Existing violations and/or expired permits ............................................... * ......
0 34. Deed Restriction ..........................................................................................
35. 0 Legal description, 0 M.H Tide i e �earch, registration or MCO .........................
36. Other: Groo 6�,ed Pftr'tlr+ of owwship
37. Other:
When issued Telephone( s5Q) 52-0- '1110 -and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit
Applicant:
Date:
1. Index permit dpplicationTor t�efbove i numbered:
t(M/1
Plan Check Lefler
2. Additional items re u'red .1e
Contractor, design 'Vas advised of the above data by\21`
o�wner,.,
V.
phone, 0 mail, 0 counter, by!
f Date:
-2. q
r. w
Contractor, designeK wrre , was advised of the above data by 0
phone, 0 mail, 0 counter, by
Date:
Contractor, designer, owner, was advised of the above data by 0
phone, 0 mail, 0 counter, by
Date:
Plans reviewed by-, !f;2 !:7 --.Date: L2 Z
Plans approved by: 4;Zf;52
Date: 4.
Structural reviewe b Date" -X/<-_4.
Structural approve'd by: I
Date: 4!f�
Note transfer by: -Date: / / S -
- I
Yellow:..Building Division
KJBuilding/Plan Check/Data Sheets/data sheet page 2 9.27.05
TO: Building Division -�- Development Services
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Plot Plan Attached
Floor Plan
Sent to D eyl— —i
7.2- -3&-os7
6-:2-d4llo
pem,1:2 S--1qd4-e Igqoq
Nvner Location AP#
Plan Approved for: Sewage Disposal: /T Water Supply: Public Private Well
Clearance for dwelling. Other ZW A &,P PC,*aIed Cr)eW4Pr'--
Hold final for:
Final clearance O.K. for:
En—vironindhtal Health Specialist
Building Clearance 9/2005
Date
Butte Cou
-11ty Depaftment of'Development Sorwccs
0
7 County Center Drive
0
Oroville, CA 95965
0
(530) 538-7601 Telephone CIO U 141
(530) 538-7785 Facsimile
BUILDING PERMIT APPLICATION WITHOUT REQUERED CLEARANCES
I request and authorize the Building Division to process this building permit 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 acknowledgd:
1 need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
I am 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 wl-iting, to I stop processing of the
application and to arrange for'disposition ofplans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could Drohibit issuance of the building permit or r!, -quire
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 bbtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
TypicallY other required pen-mits/clearances include, but are not limited to, verification the parcel was
legally created, adherence tb. 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:
APN:
Applicant Name:
Permit No.:
ess:
Building site addrf!Zt t
I have read, understood and accept the terms and conditions as express ed herein as indicated by my
submission of the above -referenced. building permit application and my signature below:
/2 -5-
96VA-TURE OF'APPLICART DATE
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner SNYDER APN No:
047-070-106
Application Date 12/5/2005 Permit No: BP
5-3192
RECEIPT DATE Tech/Asst
1
BUILDING PERMIT FEES ESTIMATED AT APPLICATION
$549.90
le �32994
Plan Check portion of Permit Fee
$219.96
2
FEMA Yes Flood Elevation Review $109.98
0
3
SRA* RX Yes Fire Plan Check - Non -Refundable $95.00
$95.00
(State Responsibility Area) Building Inspection $109.98
$109.98
NON -REF UNDABLE portion of fee s due at application _
$314.96
RECEIPT DATE Tech/Asst
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION
$4247.94 12/5/06 KourLni
4
SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
5
Additional Plan Check Fees (NON-REFUNDABLE)
6
Other*:
6a
Other*:
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT
7
IMPACT FEES - RESIDENTIAL*
Per Dwelling
Per Dwelling
Applications After 2114105
MFD
MH
County 4096.87 3071.14
3117.43
Chico Urban Area 5372.09 3995.45 4889.56
El Medio Fire District 3128.31 2297.77
2326.36
North Chico Specific Plan -1
SR -1, SR -3, SR-1/PD 7938.531 6757
0 R-1 8031.53 6850
R-2 7541.53 6360
R-3 6780.531 5599
Processing Fee is automatically added to impact fee total
8 WATER TENDER FEE (Not collected when Impact Fees Applicable) EnterBat.#
DRAINAGE FEES*
6475.49 RECEIPT DATE Tech/Asst
0 $100.00
$200.00
9 CHICO STORM DRAINAGE 770 Butte Creek 7,736
MASTER PLAN 771 Comanche Creek $8,069
772 Little Chico Creek $8,792
773 Big Chico Creek $6,596
New construction, vacant 774 Lindo Channel $8,139
land, on I acre or less - 1775 SUCIAD Ditch $6,975
Enter 1 or less acre value 1776 Mud -Sycamore Creek $6,070 RECEIPT DATE Tech/Asst
1777 PV Ditch $8,603
9a More than 1 acre, existing buildings - fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
10 THERMALITO DRAINAGE AREA 1 $652 IMaximum
Per each new living unit on existing lots where full drainage fees have not been paid
10a Temporary Dwelling 1 $130 lAt time of building permit
$130 annual renewal fee for first 4 renewals. Not to exceed $652.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED P R TO ISSUANCE OF PERMIT. Forms will be prepared after plan
check is completed for applicant to take to respective district office.
11 SCHOOL DISTRICT FEES* Not Applicable
11a RECREATION DISTRICT FEES* Not Applicable
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant- Date:
Pursuant to Go m nt code Se6tion 66'020, yculgre hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protes I are
specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105
-7-ki�'
U
LIC
Department
r- - . � - +
Michael Crum.p, Xrector
0 f
public
f B . U t- t
Works
Lj��D DEVELOPMENT DIVISION
S,,Orm Water Management PrO%rzm
7 C6unty Center D6ve
Orovilie. CA 95965
(530) 538-7266
(FAX) 538-7171
Lem (NPDES) Phase
National Pollutant Dlsch;�rge Elimination sys,
Construct . !on storm Water Permit and Storm Water piollution Prevention
Plan (sWPPP) Acknowledgement LLESS THAN 1 AgR--El
Project Description'
Project Location andlor -parcel Number:
wnellowner,s agent, ce
ffify that this project WILL NOT DISTURB
By sig�ingg below, 1, the project 0
t need to apply for a Construction StormWater Permit
I acre or more of land and that L therefore, do no -
Quality Control Boaxd. Phased projects that contain
aorn the State of California Regional Water
e but when combined with subsequent phases total more
multiple site build -outs of less than one acr on Storm Water Perrmt from the State of
than one acre of disturbed soil Ydll require a Constructi
California Regional Water Quality Control Boaid.
am awa-re that submittin(c))r false and/or inaccurate, information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Boaid for a project.
that disturbs one acre or more of land may rtsult in re:vocation of grading and/or other permits or otlaer
sanctions proyidtd by law.
Si gned:
Title'.
Date:
OWNER -BUILDER VERIFICATION
Attention Property Owner -
An "owner -builder" building permit has been applied f6r 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. 1 personally plan to provide the'm . n
,Wr labor and mate 'al for construction of this proposed
property impgvement: YES ] NO [ ].
2. 1 HAVE [ V] HAVE NOT signed an application for a building permit for the proposed
work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NANM:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO -
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated: . I
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE:
NOTE: This Owner -Builder verification is required by Section 1983.1 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.
Rev'd 11/4/2004
Butte County Department ofDevelopment Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building pen -nit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
pennit. 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 app ly.
If you plan to do your ownwork, with the exception of various trades that your 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 $200 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 government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
• There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
• For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if youwish, theU.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 perforin 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 contractor is to secure an "owner -builder" building
permit erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
CEIIC
RECORDING REQUESTED BY
Mid Valley Title & Escrow Company
AND WHEN RECORDED MAIL TO:
Dennis E. Snyder and Loree L. Snyder
P.O. BCK 604
CKWO, CA. 95927
A.P.N.: 047-07D-106-000
2005-0069528
Recorded I REC FEE 16.N
Official Records I TAX M.N
Count� of I NN081T PREER 10.08
But a I
C01M J. em I
County Clark-Recorderl
09JUM 17 -Nov -M I Page I of 4
Spam Above This Line flor Recordees Use Only
GRANT DEED
File No.: 0401-2158276 (TB)
The Undersigned GrantDr(s) Dedare(s): DOCUMENTARY TRANSFER TAX $308.00; CITY TRANSFER TAX MOO;
SURVEY MONUMENT FEE $
x computed on the consideration or full value of property conveyed, OR
computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale,
x unincorporated am; I I City of unincorporated area, and
FOR A VALUABLE CONSIDERA17ON, receipt of which is hereby acknowledged, Kent Williams and Dianna
Williams, husband and wife
C
hereby GRANTS to Dennis E. Snyder and Loree L. Snyder, husband and wife
AS JOINT TE24NM
the following described property in the unincorporated area of , County of Butte, State of California:
PARCELI:
ALL THAT PART OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION
3, TOWNSHIP 23 NORTH, RANGE 1 WEST, M.D.B. & M., THAT LIES EAST OF THE LAND
DESCRIBED IN THAT CERTAIN DEED FROM NE -ME SMITH, ET AL, IN FAVOR OF THE STATE
OF CAUFORNIA, DATED OCTOBER 24,1933 AND RECORDED DECEMBER 13,1933, IN BOOK
86, PAGE 136, OFFICIAL RECORDS.
EXCEPTING THEREFROM THAT PORTION AS CONVEYED TO DENNIS W. PHILBROOK, ET UX,
BY GRANT DEED RECORDED APRIL 16,1991, UNDER BUTTE COUNTY RECORDEWS SERIAL
NO. 91-1435S, DESCRIBED AS FOLLOWS:
tm ol z -r:- k'u: 1.4 1 k, ij 6'. 0111 " Koo, I I k' d
RI -VO FIRG 0 ;Ikvv� 4 Atw � *a I-kke-L I i id
Mail Tax statements To: SAME AS ABOVE
A.P.N.: 047-070-106-000 Grant Deed - continued File No.:0401-2158276
(TB)
Date: 11/08/2005
BEGINNING AT THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF SAID
NORTHWEST QUARTER OF SECTION 3; THENCE FROM SAID POINT OF BEGINNING ALONG
THE NORTH LINE OF SAID SOUTHEAST QUARTER SOUTH 890 Sg' 2S- EAST, 18.95 FEET;
THENCE LEAVING SAID NORTH LIN E SOUTH 000 33'35" WEST (PARALLEL TO THE WEST
LINE OF SAID SOUTHEAST QUARTER) 241.39 FEET TO THE TRUE POINT OF BEGINNING;
THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 000 33'35" WEST, 186.26 FEET;
THENCE SOUTH 560 37'S6" WEST, 14.24 FEET TO THE EASTERLY LINE OF EXISTING STATE
HIGHWAY 99; THENCE ALONG SAID EASTERLY LINE FROM A TANGENT THAT BEARS NORTH
320 18' SS" WEST ALONG A CURVE TO THE LEFT WITH A RADIUS OF 3049.97 FEET,
THROUGH AN ANGEL OF 020 54'58n, AN ARC DISTANCE OF 1SS.23 FEET; THENCE LEAVING
SAID EASTERLY LINE NORTH S60 56'Sl" EAST, 119.30 FEET TO THE TRUE POINT OF
BEGINNING (BASIS OF BEARINGS IS THE CALIFORNIA COORDINATE SYSTEM OF 1927,
ZONE 2, DISTANCES ARE GRID DISTANCES. MULTIPLY DISTANCES BY 1.00001 TO OBTAIN
GROUND DISTANCES).
PARCEL 11:
A PORTION OF THE NORTHWEST QUARTER OF SECTION 3, TOWNSHIP 23 NORTH, RANGE 1
WEST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST, CORNER OF THE SOUTHWEST QUARTER OF THE
NORTHWEST QUARTER OF SAID SECTION 3; THENCE NORTH 890 37'19" EAST, 18.95 FEET;
THENCE NORTH 000 32' 55" EAST, 11.50 FEET TO A POINT IN AN EXISTING FENCE LINE;
THENCE ALONG SAID FENCE LINE SOUTH 890 20'OS- WEST� 378 FEET, MORE OR LESS, TO A
POINT ON THE NORTHEASTERLY LINE OF U.S. HIGHWAY NO. 99E; THENCE SOUTHEASTERLY
ALONG SAID HIGHWAY LINE TO A POINT ON THE NORTH LINE OF THE SOUTHWEST
QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 3; THENCE ALONG THE NORTH
LINE OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 3
NORTH 890 37'19" EAST, 349.15 FEET, MORE OR LESS, TO THE POINT OF BEGINNING.
PARCELIU:
A PORTION OF THE NORTHWEST QUARTER OF SECTION 3, TOWNSHIP 23 NORTH, RANGE 1
WEST, M.D.B. & M., AND MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF THE SOUTHWEST QUARTER OF NORTHWEST
QUARTER OF SAID SECTION 3; THENCE NORTH 890 37'19" EAST, 18.95 FEET; THENCE
RUNNING SOUTHERLY AND PARALLEL TO THE EAST LINE OF THE SOUTHWEST QUARTER OF
THE NORTHWEST QUARTER OF SAID SECTION 3 SOUTH 000 32'55" WEST 485 FEET, MORE
OR LESS, TO A POINT IN THE CENTERLINE OF PINE CREEK; THENCE WESTERLY ALONG THE
CENTERLINE OF PINE CREEK TO A POINT ON THE EAST LINE OF THE SOUTHWEST QUARTER
OF THE NORTHWEST QUARTER OF SAID SECTION 3; THENCE ALONG THE EAST LINE OF THE
SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 3, NORTH 00- 32'
SS- EAST, 485 FEET, MORE OR LESS, TO THE POINT OF BEGINNING.
EXCEPTING THEREFROM THAT PORTION AS CONVEYED TO DENNIS W. PHILBROOK, ET Ux,
BY GRANT DEED RECORDED APRIL 16, 1991, UNDER BUI I COUNTY RECORDER'S SERIAL
NO. 91-1435S, DESCRIBED AS FOLLOWS:
A.P.N.: 047-070-106-000 Grant Deed - continued File No.:0401-2158276
(TO)
Date: 11/08/2005
BEGINNING AT THE NORTHWEST CORNER OF THE SOUTHEAST QUARTER OF SAID
NORTHWEST QUARTER OF SEC17ON 3; THENCE FROM SAID POINT OF BEGINNING ALONG
THE NORTH LINE OF SAID SOUTHEAST QUARTER SOUTH 890 59' 2S- EAST, 18.9S FEET;
THENCE LEAVING SAID NORTH LINE SOUTH 000 33'35" WEST (PARALLEL TO THE WEST
LINE OF SAID SOUTHEAST QUARTER) 241.39 FEET TO THE TRUE POINT OF BEGINNING;
THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 000 33'35" WE9r, 186.26 FEET;
THENCE SOUTH 560 37'56- WEST, 14.24 FEET TO THE EASTERLY LINE OF EXISTING STATE
HIGHWAY 99; THENCE ALONG SAID EASTERLY LINE FROM A TANGENT THAT BEARS NORTH
320 18' 55" WEST ALONG A CURVE TO THE LEFT WITH A RADIUS OF 3049.97 FEET,
THROUGH AN ANGEL OF 020 54'S8", AN ARC DISTANCE OF 155.23 FEET; THENCE LEAVING
SAID EASTERLY LINE NORTH 560 56'51" EAST, 119.30 FEET TO THE TRUE POINT OF
BEGINNING (BASIS OF BEARINGS IS THE CALIFORNIA COORDINATE SYSTEM OF 1927,
ZONE 2, DISTANCES ARE GRID DISTANCES. MULTIPLY DISTANCES BY 1.00001 TO OBTAIN
GROUND DISTANCES).
Dated: 11/00/2005
Kent Williams
STATE OF
COUNTY OF
Dianna Williams
)ss.
I
on before*
me, — :M yn'i M �,r i— In td0 t2o-f-� LIE Notary
Public, peZnal I �r appeared
, 'e J�� Wj j1j'j2M-'-:3 ' personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the wlthin Instrument and acknowledged to me that he/she/they executed the same In his/her/their
audmdzed capadty(les) and that by his1herltheir stgnature(s) on the Instrument the person(s) or the entity upon
behalf of which the person(s) acted, executed the Instrument.
WrTNESS my hand and official seal.
Signature
My Commission Expires:
Notary Name:
Notary Registration Number:
W
COUNW OF BUM
0
5047
TAMI 181ARLOW"I
M
COMM. ISS4047
LON70TAR�VLPtUsLr- CAUFOPKU
C 0 �UM
F
COMM EVIres Feb. 20, 20096"�
ThIs af w for offlrial notaiial seal
Notary Phone:
County of Principal Place of Business--
A.P.N.: 047-070-106-000 Grani Deed -'continued File No.:0401-2158276
(TB)
Date: 11/08/2005
BEGINNING AT THE NORTHWEST CORNER OF THE SOUTHEAST,QUARTER OF SAID
NORTHWEST QUARTER OF SECTION 3; THENCE FROM SAID POINT OF BEGINNING ALONG
THE NORTH LINE OF SAID SOUTHEAST QUARTER SOUTH 890 59' 25- EAST, 18.95 FEET;
THENCE LEAVING SAID NORTH LINE SOUTH 000 33'3S" WEST (PARALLEL TO THE WEST
LINE OF SAID SOUTHEAST QUARTER) 241.39 FEET TO THE TRUE POINT OF BEGINNING;
THENCE FROM SAID TRUE POINT OF BEGINNING SOUTH 000 33'3S" WEST, 186.26 FEET;
THENCE SOUTH 560 37' 56- WEST, 14.24 FEET TO THE EASTERLY LINE OF EXISTING STATE
HIGHWAY 99; THENCE ALONG SAID EASTERLY LINE FROM A TANGENT THAT BEARS NORTH
320 18'55n WEST ALONG A CURVE TO THE LEFT WITH A RADIUS OF 3049.97 FEET,
THROUGH AN ANGEL OF 020 54'58n, AN ARC DISTANCE OF 155.23 FEET; THENCE LEAVING
SAID EASTERLY LINE NORTH 56o 56, Sin EAST, 119.30 FEET TO THE TRUE POINT OF
BEGINNING (BASIS OF BEARINGS IS THE CALIFORNIA COORDINATE SYSTEM OF 1927,
ZONE 2, DISTANCES ARE GRID DISTANCES. MULTIPLY DISTANCES BY 1.00001 TO OBTAIN
GROUND DISTANCES).
Dated: 11/08/2005
Kent Williams
STATE OF C6J1*f0fy-)i0_
COUNTY OF lshasitfA_
Dianna Williams
)ss.
On 1\JCk1er)N:!ef_ 1 �3 V-0013 before
me,
Notary
Public, personally appeared
r�j i a nn ca� W A M _C, DerSonaliv
own to me (or pfaved to me on the basis-olLsaUsfactory..e-vidence) to be the personA whose na'm_eJ&3i_/aF8.-
subsc-n%Zla Fo_ the within instrument and acknowledged to me that Ae &thw executed the same inAKh3/uuar_
authorized capacitypw�and that by-hNO/their signatureo on the Instrument the person(
behalf of which the person(Vacted, executed the Instrument. 4 or the entity upon
WITNESS my hand and official seal.
Signature
L U
My Commission Expires: (>4 1 (.n
Notary Name: Al gA1jrA C,
�,-,e4!5ZS
Notary Registration Number:
MONICAGROSMIM L
C-om-m-lulln #-I 4-8i7-4 i - I
Notary Public - , California
swavou county
lawComm. ExplresApr 16.2000
-1 , - - - - - - - - - - f
This area for offloal notanal seal
Notary Phone:
County of Principal Place of Business:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA 9 (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
'4 1 1 ) AA I CORRECTION NOTICE
dr
110
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 c ct this office immediately.
Datel— !(a - 0) Inspector L)OP11110
REV 10/92
047-070406 02-1671
L S
WILLIAMS, KENT
1 0 99
6404 HWY. 99.
Mp �, HICO �k M
ISC.
NEW-200'AMP SERVICE'& misc.
WI NG
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Ciroville, California 95965 * Telephone (530) 538-7541e,2 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
047-07U-100'
ZONING
A-40
BUILDINGPERMIT
OWNER WILIJAms, an
TELEPHONE
342-3260
SO. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
1365 E. 91h S1.9 CHICIDIp CA
CONTRACTOR'S NAME
UZER
ELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NU.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
16404 fikl. 99. CHICU
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY_
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: NEW 20OMW SERVICE & MISC WIRING
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I G I WT—' @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
800V 0 R LESS
Main Service .. OR LESS 23.0023.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law f is following reason:
as owner of the property, or my employees with wages as their sole compensation,
PI�
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
VI certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date *2qlo z
Signature of Applicant-- 0 Owner 0 Contractor 0 Agent
An OSHA permitis requiredfor excavationsover 60"deep and demolition orconstructon
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
—
NEW CONST. DWELUNGffUP. so.
OR ADDNS. ACC. S. 3.50FT.
LT' -O
=T' XUIC. CYRT.ITB @7.50
0 E C,
POWE.RAPPAf1ATUSR.
20 @ 1.00
Ex. Occu OUTLET OR FIXTURES 11AL @ .50
Ex. Occup. P(PRZ.) E 1 5.00
O.FIXED A - OR.,
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
Pre -Inspection 23.00
PERMIT FEE $ 89.()()
MECHANI I CAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
C
OCC
-E
CONST. TYPE
CONST. TYPE TOTAL FEE $ 89. oo
�HA�Z.
FLOO
I D. FEES IMP I FLOOD CDF PARCEL
HD
�UE
This permit is hereby issued under the applicable provisions
,h Fl.
of the Butte County Code and/or Resolutions to do work
indicated above for whichlfees have been paid.
By Date
ERMIT EXPIRES ON
(Dati)
Receiptlqo. )J.3jou
WHITE -D.
2 �2 D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
I f
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA e (530) 891-2751
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
U,
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.
IIA-ije— ot,4,4
Ah \ 1, 1
lf - �1
Date Inspector doo,
REV 10/962 /
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7.County Center Drive 9 Ciroville, California 95965 * Telephone (530) 538-754li!Qa PERMI',1�7,
APPLICATION AND PERMIT
(Rev. 12/96) �
ASSESSOR PARCEL NUMBER
047-070-106
ZONING
A�40
BUILDINGPERMIT
OWNER
WIILIMS, KENT
TELEPHONE
342-3260
SO. Fr. OCC. BUILDING VALUATION
-
OWNEWS MAILING ADDRESS
1365 E. 9TH ST., CHICO, CA
CON`rRACTOR'S NAME
OWNER
HONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINURS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
16404 HWY. 99. CHICO
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDNtSIDWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00.
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: NEW 200AMP SERVICE & MISC WIRING
piping syste!n I - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home I S I G I W
T"
Ca20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 0' A oOR'
23.0023.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law !9;Ae following reason:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW�.LUNG OCCUP.
OR ADDNS. C
so.
3.50FT.
NEW CONST.
NON-RESID. MULT.10Cy=CU.
97.50
OWE.RAPUPTA.RATUS
PSIN. 0 C'R.
Ex. Occu OUTLET OR FIXTURES
SAL@ .50
Ex. Occup. E
O.F11ED APPLM OR'j
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23,001
Pre -Inspection
gi-nni
PERMITIFEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe 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 R the permit is for work of a valuation
of one hundred dollars ($100) or less.)
UK 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 K?visions.
X 9 Date
SignatL 0 Owner 0 Contractor 13 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing 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 $ pq _ CIn
HAZ. I D. FEES IMP FLOOD CDF PARCEL PO HD
PKIE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indi above foG whicqfees have been
By &D
PERMIT EXPIRES ON a
�Pa
provisions
to do work
Pai
a t e
/)
ReceiptN,. 353586 $89.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
r OWNER BUILDER INFORNIATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection.Y'ou 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 Ucensed and bonded by the State of Califomia and to have a business
license from the city or county. They are also required by law �b put their license number on all penuits 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 faraily. and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including *state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
# There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
+ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder buildina
permi4 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 returried.
+1rely,
Mic el C. Vidira, C.B.O.
M a so
ger. iBuii1?diZng lnspe�ction
NO TE. Th is 0 wn er- Hu ilder Info rma lion is required by Section 1983 0 of th e Caqo rn la Health. an d Safety Code.
OVER
RAPIAWA
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 permiL No building permit will be issued until this
verification* is received.
1. 1 personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES a" NO E3
2. 1 HAVE ' W HAVE NOT 13 signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (fm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 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. 1 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 NUTMIBER:
DATE: JAM 12 V /0 Z
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
PRE-INSPECTIONREPORT
OWNER.- I- 44A DATE: 2
LOCATION:
CONTRACTOK
PRE-INSPEUON FOFL- IV&"W
DATE TOINSPECTO& 2, Pnwr HWORY:( ) NONE
BuWfnXDenrfpd=:
Electric:
Residentialffi
Currently Oocupie4�..
AbandonaWacaut
Yes No X
Condition of Electric
A.P.
ZONING:
(t-��FOLLOWS:
WELDING H4SPZCr0R'S RF"RT
Electric currently On — Off
Gas:
Natural Propane None
Currently On— Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Workin& PotableNater—
Obvious SewapProblems
Cornments:
1---?
ACTION RECOMMENDED: ISSUE: HOLD FOR -3 aAlL7n, L --v"
C4
L)
Inspector:_ Date (0
Sketch buildings on reverse and indicate location on property.
JOB FINALED (Date)
Signature 0
A-
NOTES
RESIDENTIAL
T _714�_..�
PERMIT No. 047-070-106
WILLIAMS, KENT
16404..HWY. 99, CHICO
kE-ROOF & PLBG. IN BATHROOM
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
FFIC'11:�
Address c/()q
Al
GA -------
S
�e`tlelr By
MF
CTR Date
ELECTRIC
L
M t B
Meter Iy Date!5�
JOB FINALED (Date)
Signature 0
A-
V = OK
0 = NotOK
NotApplicable
NoLP.eady
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Footings; Soils -Size- Depth -Spaci ng -Con necto rs- Steel
1
. Zoning Require ments-Setbacks- Easements
4.
2.
Soils; Special MH Support Sketch
Alum. Awn.; Colu mns-Con nections-S plice- Decal -Enclosures
3.
Sewer; Location -Test -Fall -C/0 -Concrete
7.
4.
Water; Location -Test- Easement Needed (Sketch)
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/'Nat. or/ /"L"ft./ PLPG
7.
Well Clearance & Disconnect
1.
8.
Utility Clearance
2.
Soils; Compaction -Structure Stability
3.
Pool Structur ; Steel -Connections -Thickness
Dead Men -Lining
Date
Elec.; Receptacles and Lighting, Distance-GFI
Card B-1 Date Card B-1
Date
Elec.; Pool Lighting; 15 Volts-GFI
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- Reg ulator-Con nector
7.
Water and Sewer Connected -C/0 to Gracle-HD Approval
Date
8.
Gas and Electricity Tagged
Date
Tie Downs -Type -Installation Cent.
-9.-
10.
Exits; Insp.-Sketch
11.
Cart. of Occupancy
12.
Permanent Foundation Only; License Decal
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 Ws
1.
Zoning Require ments-Setbacks-Easements
2.
Footings; Soils -Size- Depth -Spaci ng -Con necto rs- Steel
3.
Decks; Girders and/or Joists -Decking- Bracing- Stairs- Rai Is
4.
Wood Awn.; Posts- Bea ms- Rftrs. -Con necto rs
Shthg. - Frg- Bracing
5.
Alum. Awn.; Colu mns-Con nections-S plice- Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nail ing-Veneer- Stucco- Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Ste ps- 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 Structur ; 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- Enclosure s- Pan elboards- 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
/= OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (%4
Date
46.
Underfloor (Plans) OK except #'s
Date
1 .
Zon ing-Setbacks- Ease me nIs- Flood -S lope
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.
Sternwalls, Main; Steel- Blockouts-Wrapped
6.
Sternwalls, Garage; Steel- Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
Date
8.
Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
Date
10.
LIF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors- Reg u lato r -Service 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
46.
Card B-1 Date Card B-1
Date
47.
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
54.
Stairs; Width- Headroom- Rise- Ru n- Land ing- Fire Protection
Date
55.
Card B-1 Date Card B-1
Date
56.
Card B-1 Date Card B-1
Date
57.
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
Date
29.
Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
Date
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ID Yes Q No
Date
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
66.
Bedroom Exiting
Date
67.
Card B-1 Date Card B-1
Date
68.
Card B-1 Dale Card B-1
Date
69.
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
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance- Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
77.
Card B-1 Date Card B-1
Date
78.
Card B-1 Date Card B-1
Date
79.
FRAMING (Permit) OK except #'s
40.
Sits 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
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
Pingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or 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- Ru n- Land ing- Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers;
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents-clea rance- Comb, Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing- Landi ng-Closu re
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance- Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction- Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive :1 Yes :1 No/Walks :1 Yes Q No/Planters D Yes :1 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- Plumbing
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive -..Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Re�12/96) APPLICATION AND PERMIT Q 918-0
ASSESSOR PARCEL NUMBER 047 d �,
07
ZONING
BUILDINGPERMIT
OWNER
1,4,111,Lzhl-t� J��/Vr
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
70
ILING
OWNERS MA /NFF;(- 5-9 -7
coNTRAcTohS_NAME
0 IAJIV e -W
1rEUEPHdNE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
�7 W
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS &J tV
Energy Plan Checking Fee
$
$
PERMIT FEE
$ CV
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 7, JAP,
USEOFSTRUCTURE
SF [3"�Dup ex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation E3 Other 0
Describe Work: 13 Sa &Z2 P/
piping system I - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home IS I GI W1
@?20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Feel' 20.00
600V OR LIE S
SS
Main Service 200A OR LES
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1$ 0, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW:;LING OrCUP.
OR ADDNS. C. ..
so
3.50FT.'
CONS' MULT'_OUTLET
=R.ID.T' ,RC,
@7.50
OWE.RAP=US
( PSIN. 0 CR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL @ .50
Ex. Occup. ( ..ED A '(,=-.)0E,,_L_
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I I
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:,
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
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 complyMith those provisions.
X Date
Sighature of Applicant - &Owner 0 Contractor 0 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
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEiE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ 1�rl 00
HAZ.
D. FEES IMP
I
I FLOOD
CDF
I
PARCEL
I �O
I NO
I ISSUE
This permit is hereby issued under
of the Butte unty Code and/or
indicated e for which fees ha
By Z"z A� 6
PERMIT EXPIRES ON
I
the applicable provisions
R�"olutions to do work
..'een paid.
Date
Date)
ReceiptNo. 140 /S a7,"
_W 3
WHITE-D.D.S.-B.131 - CKNATIY-ASSESIORIf PINK -INSPECTOR GOLDEN ROD -APPLICANT
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 d9s
verificationIs received.
1. 1 personally plan to provide the major labor and materials for construction of the proposed
property improvement: YESA NO 13
2. 1 HAVE * HAVE NOT 0 signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.'
4. 1 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. 1 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:
PROPERTYOM(NER:,
SOCIAL SECURITY NUMBER:
DATE:
JVOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verijilcation must be completed and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such.
orming their
a permit Building permits are not required to be signed by property owners unless they are personally perf
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 (indluding materials
and other costs) is S' )00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subJect to several obligations including'state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
+ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
* For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building
permi4 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. 95914.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
� rely,
i 611-1
Tfi4cl C. Vidira, C.B.O.
Manfiger, Building Inspection
NOM rhis Owner -Builder Information is required by Section 19930 of the Caqornla Health and Safety Code -
OVER
to
'damp °oma
V'
�,.�
94�..t�
ma l
67
At
COUNTY OF BUTTE DEPA RTMENT OF PUBLIC WORKS
7 County Center Dri ve — Orovi I I e, Cal I torn I a 95965
Telephone: 534-4541
APPLICATION AND PERMIT -
autnarize representatives OT ine uounty OT tsuiie to enter upon ine
above -men ti oned property for inspection purposes.
X Date
,erm
Signa ure of P . P
.,p or Agent
4� S,;gC)
Ppr,pint Mn
Wh,�e-D.PX — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
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 Date
—BUMT'ng permit expires Date
BUILDING
Owner V J'�.E
SQ. FT. OCC. BUILDING VALUATION
Mai I ing Addr6`ss
Ui C I_Telepfione.Nlo
Fireplace
Contractor
Total Valuation
Mai I Ing Address
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
Permit Fee $
tluilding Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
1:
Each Trap 1.50
C-) C.0
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 07?
Zoning &'Planning
Gas piping system 1 -'5 obtlets' 1.50
Each additional outlet .30
A<
C.
I —Sanitat7onj
FireDept.
FireZone 11
i
Use Perr�it
Building sewer- � �, I
5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Lawn spri6kIe'r, system 2.00
------
'gTdg. Plon—s �Rec'd
Parcel Approval
Plans Approval
Permit Fee $
NEW [:] ADDITION [] UTILITIES8 OTHER
q ., ELECTRICAL:' No.. @ �EE
PERMIT FILING FEE $3.00, 7 (:)0
�_C C el C, AG OLE
600V OR LESS
main service 100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex -Mobi I Home OthersEl
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. 20sq ft
OR ADDNS. % ACC. BLOGS.
NEW.CONSTR. (MULTI -OUTLET
NON RESID. BRANCH CIRCUITS) 2.50ea
N E W C 0 N S T FL ( POWER APPAR ATUS &)
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) 50 @ 250
BAL @ 109
(FUIXED APPLNS. R
Ex. Occup. 0 "TLETS (RESIDO) EA) 2.00.
Temporary service 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 $ cr�. 00
$
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.
F] 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
I
Ventilation
t
Hood 2.00
Permit Fee $
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
TOTAL PERMIT FEE
autnarize representatives OT ine uounty OT tsuiie to enter upon ine
above -men ti oned property for inspection purposes.
X Date
,erm
Signa ure of P . P
.,p or Agent
4� S,;gC)
Ppr,pint Mn
Wh,�e-D.PX — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
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 Date
—BUMT'ng permit expires Date
6
C)
/Ile
e6- I,
FA
COUNTY OF BUTTE —'-DEPAJ�TMENT OF PUBLIC
7 County Center Drive — '.0roville, California 95965
Telephone: 534-4541
APPLICATIDN AND PERMIT
WORKS
y o en er upon Lhe
above-men,tioned property for inspection purposes.
X - I F- 1:� 76'
"Sign.tureof Pe;rmi e or Agent Date
Receipt No. 145-5-,�90
White-D.P.W. - Yellow-Asses'sor - Pink -inspector - Goldenrod-Applica nt
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.
DIRECT�5 OF PUBLIC WORKS
BY Date 11�Z6
IS011ding-permit expires Date
FZ
BUILDINGr
Owner Ri V-0 k1 \1 I GE
SQ. F T. OCC. I BUILDING VALUATfON
Mai I ing Address RT , 4 If -;b' Y, 4 -
le�hone N—o.
7
Contractor
F I replace
Total Valuat'ion
Mailing Address
Permit Fee
Telephone No.
PlanChecking Fee&/orPenalty
-FerTit
Fee $
Building Address 5ox 4Q?_
PLUMBING No. @ FEE
H -
1�* WAY I . M,. o F
PERMIT FILING FEE $3.00
Each Trap 1.50
CHIC, t D
Repair drain�ge or—vent piping 1.50
cut 4-$
Water piping 1.50
�ach gas water heater or vent 1.50
A. P. No. 4 -7 - 0-1 -
Zan;— R
Gas piping system 1 - 5 outlets 1.50
ch additional outlet .30
n
Fi re Dept.
I Fire Zone
Use
ilding sewer 5.00
EQA
Parking
Plans
Parcel
Decl aration
Parnpl Man
wn sprinkler system 2.00
I
_J_
Parcel Appii::�,�:d
Plans Approval
ermit Fee $
$
NEWE] ADDITION UTILITIES OTHER
ELECTRICAL @ FEE
PULE
— PERMIT FILING FEE J$3.00
main service 600V OR LESS
100 AMP OR LESS 5.00'
Main service EA. ADO'L 100 AMP 2.50
Single Family Duplex Mobi I Home Others 0,
Main service OVER 600V -
100 AMP OR LERq 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP.
OR ADDNS. %-ACC. BLDGS. 12tsqft
NEW CONSTR. ( MULTI-OU'r L� I
N N-RE�IED BRANCH CI RC U ITS) 12.5Oe6
2
N
E FL POWER APPARATUS
(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 FIXTUR'ES) r,,OA' '0
L@IQ I
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Lic I ense No. Classification
Misc. Wiring 6.25
,am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 7. 0 0
$
WORKMEN'S COMPE . NSATION 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.
1�
2 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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ - FEE
PERMIT FILING FEE $3.00
Heating
—
Cooling
Ventilation
Hood 2.00T
Permit Fee $
s
I certify that I have read this applicatio'n 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 Count of Butte *
TOTAL PERMIT FEE
$ ?T( -)o
y o en er upon Lhe
above-men,tioned property for inspection purposes.
X - I F- 1:� 76'
"Sign.tureof Pe;rmi e or Agent Date
Receipt No. 145-5-,�90
White-D.P.W. - Yellow-Asses'sor - Pink -inspector - Goldenrod-Applica nt
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.
DIRECT�5 OF PUBLIC WORKS
BY Date 11�Z6
IS011ding-permit expires Date