HomeMy WebLinkAbout047-510-00247 02
-51-02 3042-90B
SPITERI, Sandra
64 Rock Creek Rd�- Chico , P
(woodsfove/sf)
J
047-510-002 02-1061
SPITERI, SANDRA -
64 ROCI-1, CREEK RD., CHICO
CONT: WALLY'S ELECTRIC
ELEC. SERV. C/O.�- tn (75r
V7 -5/0-602 70 7
CCC,O�Y� 72�t 5 7-lAr
'C'e "C6�< C/// CC)
B
QL 047-510-002
MfSCELLANEOUS.Room Addn-First Stry,
SINGLE-FAMILY -ADDITION 8 r6.5- SQ.
64,ROCK CREEK RD
CqRRY, JUS.TIN
FRI
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
REMODLERS INC THE
P 0 BOX 899
FOREST RANCH, CA 95942
(530) 893-4741
Ag Com Building Permit Clearan
DBEH Building Review Fee
DBF Room Addition - First Stor
DBFIRE Fire Inspection (SRA)
DBFIRE Fire Inspection (SRA)
DBFIRE SRA Fire Plan Review (S
DBMSC Room Add -1st Story 250sf
DBOMSC Fire Safe Standards Rev
REMODLERS INC THE
P 0 BOX 899
FOREST RANCH, CA 95942
(530) 893-4741
FEE INFORMATION
$36.50
$78.90
$480.72
$107.00
$107.00
$107.00
$721.08
$118.98
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
REMODLERS INC THE 813508 f B 1 10/31/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I a"nsed under provisions of Chapter
P f. .
is7innfmon pig, 7000) of Division 3 of the B sine a o ssions Code, and my license
X 7ZZ�712/11/2008
Contractor's Signature N Date
WORKERS"COMPENSATION. DECLARATION -
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
EI 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
�performan work for which this permit is issued.
AVIE AND W
�ILL.�MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
f
Section 3700 of 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: State Fund - Policy Number: 'Zoo E.p. Date:08/0112008
(This section need not be comFleted IT me permit is tcr 355 Fundled do, I a rs Is 10 0)—o -r Te—s _sT_
CERTIFY THAT IN THE PERFORMANCE OF THE WORK F�"HICH THIS PERMIT IS
SSUED, I shall not employ any person in any manner .0 s _ _me subject to the Workers'
Compensation Laws of California, and agree that if I st u ec - subject to the workers'
com��o , I Triply wihh.se
visions of Secti9fi 3700 of the La5q Co a, I s all forthwith co
C. ye�Fall
Signature Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY`S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agencyfor
'he performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
city State Zip
DBSMIP Residential
Square Footage:
Building Garage Remdl/Addn
816
Other Porch/Patio
Balance Due: $0.00 Receipt No:
OWNER / BUILDER -DECLARATION
Total
$5.30
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 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 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];
Please check one of the following:
F1, As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
—]COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
E1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
l CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
nI AM EXEMPT under Section - B. & P.C. for this reason:— I
ix 12/11/2008
1 Owners Signature Date
I hereby certify -that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the abgye mentioned property for inspection purposes. I he by certify that I am the
2ecj5ft ow_nerM aD34_4borized to act on the Property owner's behalf. 17
1&k // 12/11/2008
1:1 Owner 1:1 Contractor OR: E]Agent for Owner E;Agent for
FILE COPY
PROJECT INFORMATION
Site Address:
64 ROCK CREEK RD
Owner:
Permit No: B08-1998
APN:
047-510-002
CURRY, JUSTIN
Pennit type:
MISCELLANEOUS
64 ROCK CREEK RD
Issued Date: 12/11/2008 BY TMP
Subtype:
Room Addn-First Stry
CHICO, CA 95973
Expiration Date: 12/11/2009
Description:
SINGLE FAMILY ADDITION 816.5
(530) 891-9062
Occupancy: Zoning: A-5
REMODLERS INC THE
P 0 BOX 899
FOREST RANCH, CA 95942
(530) 893-4741
Ag Com Building Permit Clearan
DBEH Building Review Fee
DBF Room Addition - First Stor
DBFIRE Fire Inspection (SRA)
DBFIRE Fire Inspection (SRA)
DBFIRE SRA Fire Plan Review (S
DBMSC Room Add -1st Story 250sf
DBOMSC Fire Safe Standards Rev
REMODLERS INC THE
P 0 BOX 899
FOREST RANCH, CA 95942
(530) 893-4741
FEE INFORMATION
$36.50
$78.90
$480.72
$107.00
$107.00
$107.00
$721.08
$118.98
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
REMODLERS INC THE 813508 f B 1 10/31/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I a"nsed under provisions of Chapter
P f. .
is7innfmon pig, 7000) of Division 3 of the B sine a o ssions Code, and my license
X 7ZZ�712/11/2008
Contractor's Signature N Date
WORKERS"COMPENSATION. DECLARATION -
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
EI 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
�performan work for which this permit is issued.
AVIE AND W
�ILL.�MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
f
Section 3700 of 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: State Fund - Policy Number: 'Zoo E.p. Date:08/0112008
(This section need not be comFleted IT me permit is tcr 355 Fundled do, I a rs Is 10 0)—o -r Te—s _sT_
CERTIFY THAT IN THE PERFORMANCE OF THE WORK F�"HICH THIS PERMIT IS
SSUED, I shall not employ any person in any manner .0 s _ _me subject to the Workers'
Compensation Laws of California, and agree that if I st u ec - subject to the workers'
com��o , I Triply wihh.se
visions of Secti9fi 3700 of the La5q Co a, I s all forthwith co
C. ye�Fall
Signature Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY`S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agencyfor
'he performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
city State Zip
DBSMIP Residential
Square Footage:
Building Garage Remdl/Addn
816
Other Porch/Patio
Balance Due: $0.00 Receipt No:
OWNER / BUILDER -DECLARATION
Total
$5.30
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 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 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];
Please check one of the following:
F1, As OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
—]COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
E1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
l CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
nI AM EXEMPT under Section - B. & P.C. for this reason:— I
ix 12/11/2008
1 Owners Signature Date
I hereby certify -that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the abgye mentioned property for inspection purposes. I he by certify that I am the
2ecj5ft ow_nerM aD34_4borized to act on the Property owner's behalf. 17
1&k // 12/11/2008
1:1 Owner 1:1 Contractor OR: E]Agent for Owner E;Agent for
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE#: (530) 538-7541 FAX#:(530)538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
�� -�,- / qqy
BIN
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is'subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
I First Name �J
Mailing Address Koc4e- Cl< kd
city C 0
State C A-
Zip 73
Phone I Olt 2"
Fax
E-mail C4 vK 2 c4,Lrr-f
CONTRACTOR
Name
Address
City
city
,q Ayl,�JL
State c4-
Zip q y cl,-e
Phone FC,
Fax
E-mail
I -C W, 0 d f-cov, 5
r.
1 1C, (a> qco C.0
Lic. # � ( -�) i�-(
3y
Class tS
APPLICANT INFORMATION
ARGWECT����
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Coo �,, C_�O,--
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X A*A , -
/, `77 6 2. �6/
17� 7/0. 1�2_
PROJECTLOCATION
AN (D q I �� ( () — 0 0
Property Address (2 (Le-�
City cl&� C_ 0 C -A
WORKER'S COMPENSATION
Policy Number
Carrier 5�C PLA, V1
If hiring anyone other than licensed 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 FT- Living Garage Open Cov
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
, -rR, * /)/, -7 -, o r -
For office use only:
Zoning
1 Flood
I SRA
S
No
OCCR
!lTlyp
:e:C:o n s t. 1//y
f
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965 '
(530) 538-7601 Tel6phone
(530) 538-2140 Fax
www.buttecounty.net/dds
"PERMIT APPLICATION DATA SHEET**
Reference Number: B08-1998 Date: 09/29/2008
Location: 64 ROCK CREEK RD
Parcel'Number: 047-510-002
Owner Name: CURRY, JUSTIN
By: TMIP
Sub Type: Room Addn-First Str
Phone: (530) 891-9062
Description: SINGLE FAMILLY ADDITION 816.5 SOXT.
The above permit application has the following Clearances required prior to pen -nit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No SEWER DISTRICTS
1:1 M Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700
jA PARKS & RECREATION DISTRICTS
mfik—o Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
E] 1:1 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
El F] Other:
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public
information related to this application is subject to public inspection�ancl will be posted on the County's website for electronic
access.
Signature of Applicant: Date: 09/29/2008
FILE
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
F]
Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
M'&
E3
Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
El F] Other:
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public
information related to this application is subject to public inspection�ancl will be posted on the County's website for electronic
access.
Signature of Applicant: Date: 09/29/2008
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Permit Number: B08-1998
Department of Development Services
Phone (530) 538-7541, Fax (530) 538-2140
Job Address: 64 ROCK CREEK RD
Contractor: REMODLERS INC THE
P 0 BOX 899 FOREST RANCH, CA 95942
Printed: 09/29/2008
1:21 pm
Fee Description,
Account Number
Fee Amount
Paid Date
Pmt Amt
Ag Com Building Permit Clearan
0010-460001-4612200-1010(
$36.50
09/29/2008
$36.50
DBEH Building Review Fee
0021-540011-4614901 -1010(
$78.90
09/29/2008
$78.90
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-1010(
$107.00
0100-450001-4617240-1010(
$107.00
09/29/2008
$107.00
DBOMSC Fire Safe Standards Rev
00104400014210501 -1010( $118.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010( $107.00 09/29/2008 $107.00
DBMSC Room Add -1st Story 250sf
0010-440001-4210500-1010( $721.08
DBF Room Addition - First Stor
0010-440001-4210501 -1010( $480.72 09/29/2008 $480.72
DBSMIP Residential
1001-0-280-1011298 $5.30
Printed By: Tammie Powell
11762.48 $810.12
Balance Due: $952.36
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. These fees may change during the plan checking process.
Si gnature: A V- Date: 09/29/2008
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT-DATISION
Storm Water Managment Program,
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Teleph6ne
(530) 538-7171 Fax
www.buttecounty.net/dds
ic
C.015.
0
0
0
0
0
National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE I
Reference Number: B08-1998 Date: 09/29/2008
Location: 64 ROCK CREEK RD By: TM[P
Parcel Number: * 047-510-002 Sub Type: Room Addn-First Str
Owner Name: CURRY, JUSTIN Phone: 530) 891-9062
Descriptio�: SINGLE FAMILY ADDITION 816.5 SQXT.
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB I acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of Califomia
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts 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 Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of Califo ' mia. Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed: �A, L-��-
Title: (2— V0.
FILE
Date: 09/29/2008
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) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS"
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the pen-nittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY"
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
amount) to determine no work was done.
Fee/refund information can be read on-line at http://municii)alcodes.lexisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-1998
Location: 64 ROCK CREEK RD
Parcel Number:
Owner Name:
047-510-002
CURRY, JUSTIN
Description: SINGLE FAMILY ADDITION 816.5 SQ.FT.
Date: 09/29/2008
Phone: (530) 891-9062
Signature of Applicant: �A Date: 09/29/2008
FILE
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number: B08-1998 , Date: 09/29/2008
Location: 64 ROCK CREEK RD
Parcel Number: 047-510-002
Owner Name: CURRY, JUSTIN
By: TM[P
Sub Type: Room Addn-First Str.
Phone: (530) 891-9062
Description: SINGLE FAMILY ADDITION 816.5 SOXT.
To meet'the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner.
Your property is located within the State Responsibility Area (SRA) of Butte County
SRA is required to meet the below requirements:
V Public Resources Code 4290
Public Resources Code 4291
California Building Code, Chapter 7A
Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
V Full plan submittal to Butte County Development Services -Building Division
V Driveway and building pad must be identified on site
V Structure location must be staked out on the building site
All development within the
Requests for inspections shall be made a minimum'of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hourinspection line at (530) 538-6226, (When the recording comes on, enter the extension
number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirements.
09/29/2008
� (A -
Date Signature
Rev'd 5/7/07
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
http://buttefire.org/Fireprevention/proti)lan/protDIan.html
FILE
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
www.buttecounty.neVdds Tk% in
PLAN CHANGE 1:1
C
Owner's Name: LA, (2-p,- A
I M. MIS 1 41 = M I �t - -
Date: � 11 — I — 0 19
Contact Person & Phone Number:
RECHECK 1�
AP#: 0 Lt:j - '�i I () —
Received By: Y.Gra� o
Time: Afn
0 DEL-Otz
-1 - -7
� 8 �- L4
PURPOSE OF PLAN CHANGE 04 RECHECK
pop-- n -r-
0 Response to Inspector's Correction Notice - Inspector's Name:
9�6-91- Jj Q--ZC,0 AJ
XResponse to Plan Check Letter - Plans Examiner's Name:
*Submit two (2) drawings reflecting the revision for plan review along with your approved plans. If
engineering is involved in this revision, the engineer must put his requirements on these drawings and wet
stamp and sign two sets of engineered drawings. Drawings must clearly show changes proposed and
locations involved.
WHEN APPROVED:
0 Mail to
Call M (-ILr- 0 �A 6ig�,
0 Deliver 'with Next Inspection ( for'8 V2X 11 on—
ly)
and hold for pick-up.
Minimum revised plan check fee to be collected at time of submission of revision, plans examiner
will determine if additional plan checking fees are needed:
0 Minimum $118.98 paid.
0 Additional Fee Amount:
Receipt #:
Revised 2/08
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 * Telephone (530) 538-7541 P IT NO.
(Rev. 12/96) APPLICATION AND PERMIT z,
'ASSESSOR PARCEL NUMBER
047-510-002
ZONING
A-5
BUILDINGPERMIT
OWNER
SPITERI, SANDRA
TELEPHONE
391-4797
SO. FT. OCC. BUILDING VALUATION
11NER1 f6T §MUOyAH AVE. , CHICC), CA Oft 95926
""TRATMM S ELECIRIC
I TELEPH NE
1893.-4242
CONTRACTOR'S MAILING ADDRESS
1086 VALLOMBROSA AVE., CHICO, CA 95926
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00'
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
6 R
4 OCK CREEK Rl)_, (MTGC)
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIOWS 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 Addibon 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: EL=IC SERVICE C/O
piping system I - 5 outlets
15.00
—Gas
Building sewer
15.00
Mobile Home ISI GI WF-
@D20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( '..*,v, .' L.S�' )
23.00 9,� on
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. 4��7/z �,9,0
eZ�/ 12 -F-CLARATION
OWNER -BUILDER E
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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. DWELLING UP.
OCC.
OR ADONS. & ACC. BUDS
so.
3.50FT
NEW CONST. MULTI-OUTU7
NON-RESID. BRANCH CIRCUITS
g7.50
( PCW.E.RAP= US
IN 0 CIR.
Ex. Occup. OUTLET OR FD(TURES
20 @ f.00
BAL @ .50
OFI.ED APPLINIS OR.,
Ex. Occup. . (FIES16.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.001,13,00
I-RE-INSPECITON
PERMIT FEE
$ 65.00
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
3700 of the Labor Code, forthe performance of workforwhich 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
Kof one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
s' compensation provisions of section 3700 of the Labor Code, I shall
(�l =t=th c9mply wit th so visions.
r
X Date
Sig ture of Applicant - 0 Owner, [3 Contractor 0 Agent
r'
mi ui "etions
A OSHA permit is requir over 60" deep and demolition or construction
structures over 3 stories in height.
stru,tu r , ov 'tori,
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$ 6fi DOI
IMP
I FLOO��CEL
PO
HD
ISS
I
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PER�MMIT EXLPIRES ON "Va
I /
the applicable provisions
Resolutions to do work
been paid.
L
ReceiptNo. 6
'%J
-A PINK -INSPECTOR GOLDEN ROD -APPLICANT
WHITE 9*1 RY�WSOR
-D.D.S
F2
'C'O NTY,',OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
-7541 Fax (530)538-2140
.7 County Center Drive, Oroville, CAN5965 Phone (530)538
PfERMIT APPLICATION DATA SHEET
4,
4� , , t�
t ! i,_, I - ASSESSOR PARCEL NUMBE
OWNER: r i
Proposed Building Use: Counter Technician: Date:
Items req'uired in ordef to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
0 1. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Etigineered 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 faxes!
0 5. Energy compliance design and supporting documentation in duplicate.
0 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
0 7.: -Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate .................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings ..........................................................
0 11. Detached Accessory Building Form filled out by the owner ......................................
0 12. Hazardous Material Form ................................................................................
0 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
0 15. Statement of Intent for Non -heated and A/C Buildings ...............................................
0 16. Sanitation and plot plan approval from the Environmental Health Department in
0 17. City of Chico Plumbing permit .........................................................................
0 18. California Department of Forestry plan approval 0 paid. Sent -by: ......................
0 19. Planning approval for (A) Use: _(B)Parking: (C) Parcel Check:
0 20. Contact Land Development about El Improvements, 0 Drainage ...............................
9_1�ncroachment Permit ivewqy from the f ublic Works Dept. (construction approval prior to occupancy).
tn- 22. Pre -Inspection for e- llrec�-rrl C 6� I 5e.1-0,1 LZ_ required ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
El 24. Worker's Compensation Carrier and Policy Number ......
0 25. Owner -Builder Verification (P Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization ....................................................................
0-27. Recorded copy of Agricultural Acknowledgment Statement ....................................
0 28. Manufactured home utility clearance ...............................................................
0 29. Existing violations and/or expired permits ................. ...........
P �� 0 Grant Ree4, q M.1-1. Title/S atementpf Facts, Letter from Legal Owner, 0 Check to H.C.D. $
b"'3 1. Ot ly I A
When issued Telebbc
I have been i
- App
-:> L 0 ,v er r -
hold for pickup.
requirements for obtaining a building permit.
I
1. Indeypermit application for the abo )K items numbered:
2. A�ditional items required
CcWtractor, designer, owner, was advised of the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by:
A
FEW
Date:
phone, 0 mail, 0 counter, by
phone, 0 mail, , 0 counter, by
Plans approved by:
-Structural approved by:
Yellow: Building Division
Plan Check Letter
-Date:
Date:
Date: -
Date:
Feb 01 02 08:13a
P. I' -
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 , Telephone (530) 538-754�� �EMIT �NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCLLNUMBIM
BUILDING PERMIT
OWNER
k _r
"�j ".,t d
ON
i__H E
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MAJUNG ADORESi
__ . ;7— 0 11:� S ea 64 4 A r I
-A
CONTAAC;OR'S 4AME I
(JU 0, 11' V �, 4rc t. Ic
3q
CONTRACTOR'S MAILING ADbFqS
t Q if VQ4 Os"A af, C-6.1
CONSTRUCTION LENDER
dfiRR-S MAJUNG ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINECR'S MAJUNG ADDRESS
_iWL(*i6`A,0,,DRES
Permit Fee
$
Plan Checkina Fee
$
S
C
Energy Plan Checking Fee
$
$
PERMIT FEE $
LOT NO. SUBONISIONS NAmE
PARCEL MAP
PLUMBING PERMIT
Filing Feel 20.�_O
USEOFSTRUCTURE
S2� Duplex 0 Mobilehome [3 Other OPIECIFY
Each Trap
1 7.001
Solar or heat pump wator heater
1 23.001
Water piping
I 15.001____
—
Each gas water heater or vent
.
15.00
TYPE OF WORK
New 0 AddiUon 0 Remodel 0 U51-1216 Instaillaticon 0 Other [3
Describe Work: �>C,7 � 0,
(--E>
Gas pip m I - 5 outlets 15.00
�s steMIC
Building sewer 15.00
Mobile Home Is (020.00
I Gi W I
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
( 400.11 D.R =6
Main Service . J__
23.00 Z-3"
*PERMIT FEE PAXb
S"
SHERXFF
OTM.
AA%OVW RECEMb
To im wr wro cowvm
Main Servi_� -A TO IWOA 46.00
NEW CONOT. DWELLMffVP, so.
OR ADONS. & ACC. S. 3.50FT.1
NEW VUM I. muLn.o
NON-AERID. BRANCH 07.501
Pr0*ZAPVP=US
". 0 ci't
Ex, Occup. OvnEr oFt mMAEs 1-00
"L 50
Ex. Occup. 0=0
V�7=..10"R 5.001
Temporary Service 23.00
Mobile Home Facilities 20.00
M - isc. Wirinct 23.00
)hbo
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE
Mobile Home Installation Fee $
j
Energy rispection Fee $
OCC
CONST. TYPE
ITOTAL FEE $ (
el
I
HA2.
D. FEES IMP
I I
I FLOOD
I COF
PAR&EL
I PO
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
Indicated above for which fees have
By
PERMIT EXPIRES ON .
the applicable provisions
Resolutions to do work
been -paid.
Date
Matv)- - -
ReceiptNo.
WHITE-D.O.S.-EIM. CANARY -ASSESSOR PINK -INSPECTOR GOLOIENROD-APF[id�NT
REQUEST FO INSPECTION
a �tfi:
Owner:
Comment:
BLDG.
Form
Frame/Underfloor
Stucco Lath
Stucco Brown
Woodstove
Brace Panel
Insulation
Nailing
Demo
Permit No.
- /0
PLUM7
�kECTRIC>
M.H.I./M.H.0
Rough
oc___---
Rough
Fnd/Ftg
Top Out
Temp. Service
Gas PipingfTest
Main Service
Corrections
Temp. Gas
Underground
Final
Sewer Piping
Well Circuit
POOL
Water Piping
PhowerPan
I/Vd
forrections
%Vections
Light hl�
P, P"L
71al
Corrections
Final
Date: L - Call Ll Phone:
PRE- \,,-N
!IN�SPECTI
Job Status
Permit Renewal
Verify Utilities
Ex Mobile Site
Ready for
Inspe 2 P
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 - Telephone (530) 538-7541 NO.
A19
(Rev. 12/96) APPLICATION AND PERMIT
ASS&�OR PARCEL NUMBER
047-510-002
ZONING
A-5
BUILDINGPERMIT
OWNER
SPITERI, SANDRA
TELI"ONE
891 4797
SO. Fr. OCC. BUILDING VALUATION
""MMUOYAH AVE., CHIOO, CA OR& 95926
"'Wrr S E=ic 1893-4242
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
1086 VALLOMROSA AVE., QfICO. CA 9926
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHrrECT OR ENGINEER
Filing Fee $
20.00
Permit Fee $
.ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
all:LDING ADDRESS
64 K ED-, 04T00
Energy Plan Checking Fee $
PERMIT FEE J $
T NO.
PuBDiVISIONS NAME
PLUMBING PERMIT Filing Fee 20.00
Each Trap
USEOFSTRUCTURE
SF 0 Duplex 0 Mobfleho.me 0 Other
SPECIFY
Solar or heat pump water heater
Water piping
Each gas water heater or vent
15.00,
TYPE OF WORK
New 0 Addftion 0 Remodel 0 Utilities 0 Installation 13 Other 0
I - �
PL
TDescri_ � or =6" S;0rVICE C/O
U-0
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home LS I G I W F
C620.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
( 800V OR LESS
Main Service .. OR LESS
Main Service 200A TO 1000A
23-00 22-M
46.00
LICENSED CONTRACTOR'S DECLARATION
I hpreby affirm -under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Profess:.. -.)ns Code,
:ind my license is in full force and effect.
License Class Lic. No. !Vs—b :9"0,0
g�!-=/ 1) —
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contracto!s License
Law for the following reacon:
0 1, as owner of the property, or my employees with wages as their sole corn.pensation,
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.
El I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCC
OR ADDNS. & ACC. BLDSUP'
So.
3.50FT.
CO '_O "L_
1, M IT =,,
@7.501
OWE.RAP=US
IPSIN. 0 C..
Ex. Occup. OUPLET OR FIXTURES
.�&O SAPP . 0"
Ex. Occup. CR= .) EA.
5.001
Temporary Service
23.00
Mobile Home Facilities
20.00
Wiring
23.00
—Misc.
-2- 11�7- 7, 1 S? E C 7 T 0 N
2 Q
PERMIT FEE
�05.c)o
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 fo',, workers'
compensation, as provided for by section 3700 of the Labor Co6e, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required oy Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of, a valuation
of one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is i&,;ued. 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
,-�orkers' compensation provisions of section 3700 of the Labor Code, I shall
w w
I rthwith c ply wit th se visions.
_6.92
X Date
Sig ture of Applicant - 0 Owne 0 Contractor 0 Agent
'g
VAOSHA permit is required for exca ations over 5'0"deep and demolition or construction
ir
structures over 3 stories in height�
tc .
MECHANICAL PERMIT Filing Fee 20.00
Heating
—Cooling
Hood 6.50
—
Ventilation
PERMIT FEIE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
ITOTAL FEE $
ES [ IMP 1
FLOOD
f767CEL
PD HO IMSSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
(Date)
provisions
to do work
paid.
ReceiptNo
W H I T E - D. 0. S. - N FRRY'JAIMS S 0 R PINK -INSPECTOR GOLDEN ROD -APPLICANT
47-51-02 3042-90B
FAILURE TO FINAL WOODBURNING STOVE
2/10/93 SPITERI, Sandra
64 Rock Creek Rd, Chico
(woodstove/sf)
VIA
047-5 10-002 02-1061
�-o '
0
s
t 0'
v
e
s
5AI f
047- -5 1-0--002
SPITERI, SANDRA
6 OCJ� R':
4 ROCK CREEK RD., CHICO
L
CONI: WALLY'S 1:
LECTRIC
L C S _ V
ELE I LC.SERV.C/0
471
'Inter -Departmental Memorandum
Perm , it,.exOired-__11/31 Iq I
Correction notice requesting a
permit Lo,complete or filial of
this permit with -in '10 days(
left oil job site on
No response to correction notice.
O -1V FU � q 3
Referred to code enforcement on
this date -
By Inspector-
304�-90B
47-51-02
SPITERI, Sandra
64 Rock Cteek-Rd., -hico
(woodstove/sf)
./0 f 2i q3
'):�4 LA-)
, :to
. .... ......
71
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Coynty Center Drive - Oroville, Ca'lifornia 95965 - Telephone: 9W53&-7541
APPLICATION AND PERMIT
ER
47-551-002
ZONING
A-5
BUILDING PERMIT
OWNER
Sandra Spiteri
TELEPHONE
891-4797
SQ. FT. OCC. BUILDING VALUATION
11000.W
OWNER'S MAILING ADDRESS
971 E. ave., Chico 95926
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
OWN
Total Valuation J$1,000.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS I -
Permit Fee
�17. 50�
ARCHITECT OR ENGINEER _F7_ff_N
S E N 0.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty
$�
BUILDING ADDRESS
Permit fee
$27.50
PLUMBING PERMIT
FilingFee 10.00
64 Rock Creek, Chico
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFEI DuplexD MobilehomeF] Other Woodstove
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New 7 Addition 0 RemodelD Uti lities J1 InstallationEl OtherEl
Describe work: Wood Stove
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 610V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADC -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force end effect.
License No. Classification
1, as the owner, or my employees with wages as their sofe compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. ELLING OCCUP.&)
OR ADONS. (OACWC.BLOGS.
21/20sq ft
NEW CONSTR MULTI.0 _T
UTLF
NON*RESIO, BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
.20 @50C
5AL@ 30C
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS (RESIO.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become sut,jc;L;I
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
I
Ventilation
, I
Permit Fee
-
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequencel,of the granting of this permit.
I .A / _f "'
X , ">/ " / e,-- , / C-- Date—'
Signature of Applicant /Owner El ContractorEl Agent 7
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
27.50
HAZ
I CUA
PARK
I SCHL
I FED�
I Ho ISSUE
Th's permit is nereby issued under
sions Of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
B
PEF&I"T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date 9
-2- 9,11
Receipt No. 70778
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT
—COUNTY OF BU17E
BUILDING DIVISION
DEPARTMENT OFIDEVELOPMENT SERVICES
1.469 Humboldt Ioad, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott RoaJ, Pa�adise, CA - (916) 872-6307
CORRECTION NOTICE
�j7
90— 30(1e�
OWWERJ PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be ccrrected. Please notify this office when correction of work
is completed.);fl/you have any questians pertaining to this matter, or need additional explanation,
please cont
,p(ct this office immediately.
/C A , L I
') /,I 'U—.
Date –c<Zen,( Insoector
REV 10192'f
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-27
7 County Center Drive, Droville, CA - 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTI ' ON NOTICE
30qoq-qb
OWNER PERMIT NO.
IN-
A routine inspection indica'tes that the following violations of Butte County Ordinances exist at
the above address and shou'ld be--correctea. Please notify this office when correction of work
is completed. If you haFve any q�,e�tions pertaining to this matter, or need additional explanation,
please contact this office immediately.
&A-r-v� .
-4
A %if%
D 1'.26 - /-)-7
ate Inspector
REN/ 11/91
COUNTY OF BUTTE
(v
ti�
DEPARTMENT OF PUBLIC WORKS
oldt CA - (916) 891-275�1�
91�;
1469 Humb A
CA - �(91 6 -7 5 1
C
7 County Cente�rtDrive, �Orovii�IeA 1�5 3 �85 1
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
30qP-
OWNERI PERMIT NoT.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify 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.
6.P . U
(A)
Date Inspector
REV 11/91
COUNTY OF BUTTE
DEPAFTIVIENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Centor Drive, Orovi Ile - 15hone: 538-7541
747 Elliott Road, Paradise - Phone: 872-6307
CORRECTION NOTICE
,Soo d r- a- le'('
OWNER PERMIT NO.
A routine inspection indicatas that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matterl�,Pr need additional axplanation, please contact this office immediately.
A 45
< by e , &.,,,-e-c
C lei9 - t? ��' C -C -�- 0 (Y 0 #,*, '6 J'StO� 1, 1 '!�5
L) 0 17 0-/ 41 4-e- ev 0 -ack/ S y/0 4.^<-
r
Date- �- 6 Inspector 100o�' 04-�
"v 0
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE
, 'OROVILLE,, CALIFORNIA 95965-33,97
IVA ell Ono IV/07/ne
11.041STAGf
FE8161)93
0 .2 4
AL
.0514L
MS SANDRA L SPITERI
9880 FIMPLE ROAD
CHICO CA 95928
L
FURNTARLIn.14C, Tlt-i
E
spl-1 9RJ:
'Ll:FrTRNlA DR. #147
C1411 70 C-4 q5
1
^�
l
VIOLATION CHECK LIST
A.P. # Addres
Owner
11R X0 A!5�e- '..; ��z �-
Owner's
Address ea�gfr
A -Z
01"
9Y 0
Owner's
Phone No - 91 f 7
77
Superviso�ral District'
Tenant's
Name
Phone No.
Type of
Violation in Detail
with Code
Section Priority No.
. I
Specific Plot Plan:with C/V Noted yes . no Penalties.Required
1st. Notice Sent 2nd. Notice Sent
(Date T (Date)
Comments and/or Determination
Disposition For Citation Citation
Department . Recommendation to COLrt (Date) (Date)
Court Action
Notice of Violation Recorded
(Date)
March 15, 1993
Sandra L. - S�if&7z:i
2581 Calf if &r'niF-Df ii,6' #147
Chico, CA 95928
RE: Buil'din�-C6d&-Vi"o'l'-a--t-io-n---- A.P.#047-51-0-002'
64 Rock Creek Road, Chico
Dear Ms. Spiteri:
This is-a--fo,rmal wa rni-n-g- —not iE-e.-Pd-f6u�rit --to - Bfitte7C6_urif-y-05dF--(BCC)
Section 41-2, 'we sent you a courteef -notice dated February 23, 1993 notifying
C�
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure-Cd--olit-a-i-n--ap—pr&-vdl--bf -�F`evi3t-is corr&Eti7oh-s-dn-d-fEilar-�i-'t6-obta--I.-n
final inspection -jifior--fo us-4�--51n-d -Wrm-it 6ri-in-st a -I I -at ion
of wood burn_ing� - sto-ve- -i'n violati6n--6f'-EhE-1985-Ufii'f6iffi--Bu-1'1'd'i*n-g- Code
as a-do.p-ted by Section 26-1 of the Butte County Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be correzted or abated by you 'applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within thepermit specified time. -
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
0
ten (10) days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall include ' a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct oT abate the violation(s).
Letter f 67-Sifndra L. Spiteri RE: Building Code Violation A.P. #047-51-0-�-002'
Page 2
March 15,'1953
Should *y -6u haVe any questions concerning this matter, please contact David
Purvis or Bill Barron in this office at the address or telephone number
listed above:
S1 n
JFG: dms David Purvis
Manager, Building Inspection
25
Pwar aF s=,r-r=- B*r t.%=_
am over- t:!ie age of le and. acc a par. -_,r- cc c�-i causp.
2 C7 t re s- - mZ242
razide=m - of - .=d m!ie c rha th
Building, Division
DWar eat _qf Develoqment. Servicas
�L
77:� Count7- Canter ur--v.e.
C.� I Ck 9.5965.1
30 -Day Violation Letter�
served- the, foresmi=q-
(047-51-0-002)
b7 a:- =uet cony -
a: semXii�, amvello-ae_-� and.:. deums-i- SZ -1 a- I&-mve-I O'Cet Zm: the- Umtte.—L
UCS=a=e7:' f=1 1 prepa' d_ OZL
15th, of Mnrrh
and: addzem-sec-L. as. f 62.1ows.:
Sandra L.Spiteri
2851 California.Drive #147
Chico,CA 95928
7 deCZZre =Cjer zmmair-7 of. =-_4=7- =ciez- z!:e- laws of.
ctLe� Star -a- of... C -a or_-_�.a. mtar- =he� formactnsr. iz. =.Ze: =Ci- cmr-_ac=_
3/15/93
and- chav- dec'nractLon- w;ms-. e-_ac*uc-_d_ am.
ac, nrmwi I I'M. or-'ja.
David Purvis
Manager, Building Inspection
t
February 23, 1993
Sandra L. Spiteri
2581-California'Drive #147
Chico, CA 95928
RE: Building Code Violation A.P. #: 047-51-0-002
64 Rock Creek Road, Chico
Dear Ms. Spiteri:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as.follows, at the above referenced location4
I
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to permit expiration for installation of wood -
burning stove.
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and -pay the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed.�� This field authorization cannot be mAde
until the existing work is inspected and approved.
4
It is the County's� goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Cod6
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have' questions concerning this matter, please
contact David Purvis or Bill Barron, in this office at the address or
telephone number -listed above.
Yours very truly,
""A sign,_ -d bT
J. F. GL-Z&O
RT:dms J.F. Glander
Manager, Building Inspection
cc: Assessor
Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAtION AND PERMIT
PERMIT NO.
A
ASSESSOR PARCEL NUMBER
47-51-002
ZONIN
A-5
BUILDING PERMIT V
OWNER
Sandra Spiteri
TELEPHONE
891-4797
SO. FT. OCC. BUILDING VALUATION
Est. 1,000.00
OWNER'S MAILING ADDRESS
971 E. ave., Chico 95926
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKN 0 WN
Total Valuation J$1,000.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$17.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$27.50
PLUMBING PERMIT
FilingFee 10.00
64 Rock Creek, Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Water piping
5.00
Each qas watee heater or vent
5.00
USE OF STRUCTURE
SF[1 DuplexF� MobilehomeF] Other Woodstove
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New [_� Addition Ej Remodel[:] Utilitiesi] InstallationO Other E]
Describe work: Wood Stnyp
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (chec.k one):
F-1 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1/1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Fl I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ( ACC. BLDGS.
2'/20sqft
NEW CONSTR. MULT'-OUTLET
N ON.RES,., BRANCH CIRCUITS)
2.50 ea
(POWER APPARATU S &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
1.20@50C
AL@30Jr
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
6f Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
.1.1
against said County in cons I quen-p9,0! the granting of this permit.
X Date lkll�o 1q0
Signature of Applicant - I/Owner El Contractor n Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE $
27- 9n
HAZ
I CUA
PARK
I SCHL
-_
I FLO
I PAT
I
T h; s permit is hereby issued under
si�ns oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
y
:E IiXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date �P,
XJ=14-
Receipt No. 70778
WHITE-O.P.W., YEL LOW-ASSESSOR,FP INK -t N SPECTOR. GOLDEN ROD-APPL I CANT
4
t
COUNTY OF BUTTE�-DEPARTMENT.OF PUBLIC WORKS -BUILDING DIVISION
AN NIE"CE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
7 COUNTY CENTER DRIVE 0 0
PERMIT APPLICATION DATA SHEET
Permit No.
Ok"IER A,,fll. No.
Prop6sed Building Use ",qz2syl", Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted .....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate,.signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form .......... : ...............................
6. Energy Design Compliance and supporting documentation .........
7. Statement (if Intent fo ' r Non -Heated and AC Buildings ... ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
- 12. Park fees paid ....................................................
-13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: -(B) Parking: .. ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
21;Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
-.24.. Recorded copy of Agricultural Acknowl&djment Statement .........
.25. Letter of signature authorization ....................................
26.
27.
When you issue the permit, process as follows: _'t-1""Mai I to owner. -Mail to contractor.
Telephone and hold for pickup at -office. Deliver w1inspector.
Other
7-
Appli ant_,�4, f���43�,Zte
C
e
,,,Copy of Haz-Mat form" sent -HealthDept. -FireDept. ----Air Pollution Date
'Copy of plans sent _____He�l-th Dept. -FireDept. -Other- Date,
By
:The'fbilowing data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---jnai I —counter by_date
Contractor, designer, owner, was advised of above required data by —phone _rna I I —counter by— date
Plans checked by
DAte Plans approved by
I
-Sets of plans�n_ho d(iri File cabinet _AP folder
Copy—DPW
Date
COUNTY OF BUTTE'-'Dei;artment of Public Works
7 County Center Drive, oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention.Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
I
the proposed property *mprovement (yes or no)
signed an application for a building permit
2 . I (have/have not)�Yl�
for the proposed work.
3. 1 have contracted with the following person firm) to provide the proposed
construction:
-Name
Address City
Phone Contractors 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
Phone Contr . actors License No. City
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. -
Social Secur , t Numb
Date 20
NOTE: This Owner -Builder' Verification- is sent to you as. required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPART.MENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLI'CATION AND PERMIT
ASSESSOR PARPE 7BER
OWNER
ZONIRU___
BUILDING PERMIT
'�4AIOk A P i i
TE
so OCC. BUILDING VALUATION
Owq,S MAILING ADPRESS
�7 / 15-. A / -7
CON�7 t5 Z K4 4W
FELEPHONE
IF
CONT-RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
-Total Valuation $
LENCER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LIEENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
SUILDI
N 12
Energy Plan Checking Fee
$
Penalty
Permit fee
$
$ F
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
2.00
Solar or heat pump water he�ter
20.00
LOT N07UIIDIVISION
NAME
PARCEL MAP
Water piping
5.00
-_
Each qas water heater or vent
— ---i _00
USE OF STRUCTURE
SFEI 'Ouplex[] MobilehomeE] Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
_00
Mobile Horne.-.- S G W
10.00 ea
TYPE OF WORK
New Addition 0 Remode[E] Utilitie InstallationO Other
Describe work: —aid 6 7) <:�
—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 800V OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed unde� provisions of' Chapt. 9, Div. 3 of the Business
and ' Professions Code and my license is in full force and effect.
License No. Classification
0 1, as the- owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively c . ontracting with licensed contract-'
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADO -L 100 AMP
__T50
NEW CONST. DWELLING 0 C_
OR ADONS. ACC. BLDGS.E UP-)
NEW CONSTR. MULTI -OUT
NON-RESIO, BRANCH CI
2.50 ea
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. OCCUP( OUTLETS OR FIXTURES
2 5 t
&AL& 30q
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15 00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: It after making this statement, should you beco e subject
to the W. C. provisions of the Labor Code, you must forthwith complymwith such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
P e F
Permit Fee
e e
$
C 0 n r a
Contractor
c 0 r
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction and hereby authorize representatives of the Coun ty Of
Butte to enter upon the ;ibove-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner 0 Contractor Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of str_ctures over 3 stories in height.
M 0 b e Ho m e ta
Mobile Home Installation Fee $
t' on F
Energy Inspection Fee $
occ
CONST PE
M
T T 2
TOTAL FEE �,-S D
HAZ
CUA
PARK
SCHL
This permit is nereby issued under
c
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
le prov
resol'utions to do
'I
have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W.. YELLOW-ASSrSSOR, PiNK-INSPECTOR. GOLD ENROD-APPL I CANT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR. INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7641 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netIdds
PERMIT NO.
BPO51707
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/29/2005 APN: 047-510-002-000
the Business and Professions Code, and my license is in full force and
effect.
Site Address: 64 ROCK CREEK RD CHI
License Class: License Number:
Map Index:
Date: Contractor:
Description: RE -ROOF (7)
OWNER43UILDER DECLARATION
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: CURRY, JUSTIN
permit to construct, alter, improve, demolish, or repair any structure, prior,
64 ROCK CREEK RD
to its issuahbe�,, "also requires the applicant for such permit to file -a
signed statement that he or she is licensed, ptitsCibrft td,ft?pn!i�isidii's of
CA
the Contractors State'Lic'ense 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"abd 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 ($500).):
1, as owner of ihe property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
.inten0fk.d,.,qrqffqre ions
..I.fg_r splfQ.Skq��.. 7P4,4$M$ines�s.andProfess
CURRY, JUSTIN,,,....,__
Code: The Contractors' State License Law does not apply to an
64 ROCK CREEK RD
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;s ' uc ' h iMprove.ment.s.are not intended or offered for
95973
sale. If however, the building & improvements are sold within one
year of completion, the owner -builder will have the burden of
'or
proving that he -or -she did not 6uhd improve for the purpose of
sale.).
idl*-.I,.as.*,o.wner.*�,*of.,.the.,.properly.,.ar.r,t-,exclusively,.contracting -with,
licensed contractorg1d construct the project (Sec. 7044, Business
r>
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.).
L3 I am Exempt under Article 3;0� B �i�, rofessibris Code
f .'
swneiDate: (I
License #t
WORKERS'COM DECLARATION
O�PINSATION
I hereby affirm under penalty 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:
LI 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 carder andpolicy number are:.
Carder:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
Census Code:
&51
ertify that in thep6rf6rmance 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:— 4.Z2- Q -,0 5
Applicant:
WARNING: /Failure to secure workers' coVe.,sation coverage is
i
unlawful, and shall subject an employer to cri i at 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 hereby issued under the applicable provisions of the BiMe County CodA enrl/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
.--2q-OS
By: Date: (A.
PERMIT EXPIRES ON:
(Date)
Address:
0 1 here y 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 S46tion 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
13 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 co , mply with
all county and state laws relating to building construction. I.acknowledgeit is unlawful to alter the substance of any official form or d ent of Butte County. I hereby
authorize representatives of Butte Count�,t�dter upon the above mentioned property for inipection'purp.#.
e ---
-Z U41
/ V
Print Name: Urt -Z Signature:
Date:
erow-ner Q Contractor L3 Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR NSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PR17 CLEARLY*
APPLICANT SIGNATURE
X
U!
For Mfice use only:
OWNER
Last Name
CT—V
irst
r
SRA
City
-A i-Af
Address
(2 0 C; k C � Lce K e ri
City
Map Book
State
Zip
c-, 141 co
Lic. #
A
ctc�q -7
Phone
9gl-
—
Fax
E-mail
APPLICANT SIGNATURE
X
U!
For Mfice use only:
CONTRACTOR
Name
CT—V
Address
SRA
City
Carrier
State
Zip
Phone
Map Book
Fax
E-mail
Lic. #
Class
APPLICANT SIGNATURE
X
U!
For Mfice use only:
ARCHITECTIENGINEER
Name
Flood Z e
Address
SRA
City
Carrier
State
Zip
Phone
Map Book
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
U!
For Mfice use only:
APPLICANT NAME
Name
Flood Z e
Address
SRA
City
Carrier
State
Zip
Phone
Map Book
Fax
E-mail
APPLICANT SIGNATURE
X
U!
For Mfice use only:
Zoning
Prope5y.Address
— 6 � rz P, cr=
Flood Z e
Cross Street
QN+4�5Lz_-I:
SRA
Policy Number
Carrier
Occ.
I Type Const.
Subdivision Name
Map Book
I Page
Lot #
IDate Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\l3ldgApplSubRqmts.doc
PERMIT
NO.
BIN N
LOCATION
ffAP#
7--�5-/ c) — 0 0
Prope5y.Address
— 6 � rz P, cr=
City
ctlf (C()
Cross Street
QN+4�5Lz_-I:
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of wo
compensation must be shown at the time of permit issuance,
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope of Work:
P"of
Sq. Footage
D Structure Built without Permits
0 Proposed Change of Occupancy.
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received��b Amount: —Bldg
b, SRA
Receipt #: 3194 Sheriff
- F7
Date:
SMIP
Total
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required), No faxes!
0 4. Energy compliance design and supporting documentation in duplicate.
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate. .1
0 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
El 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
0 11. Detached Accessory Building Form filled out by the owner (if required).
0 12.' Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
El
1 .
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
11
4.
NPIDES Form.
0
5.
Encroachment Permit for driveway from the Public Works Dept. -(construction approval prior to occupancy).
El
6.
Contractor's license information. (Number, Name Style, Classification).
11
7.
Worker's Compensation Carrier and Policy Number.
0
8.
Owner -Builder Verification (if required).
El
9.
Letter of Signature authorization (if required).
r_1
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
El Grant Deed, C3 M.H. Title/Statement of Facts.
0
12,
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made'within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done, Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 2-24-05
rr
E t
Wiwi
Z01
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the major labor and material for construction of this proposed
property improvement: 'YES ')� No I I.
2. 1 HAVE HAVE NOT signed an application for a building permit for the prop . osed
. work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NA1vM:
-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:
NA-IvM:
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: 19- 0 5 -
NOTE: This Owner-Bufldtr 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 ) 1/4/2DD4
Butte County- Department ofDevelopinent Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Driive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
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 -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they.are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible" liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of Califomia. 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 varioas trades that your plan to subcontract, you should be
aware of the followin a information for your benefit and protection:
• If you employ Or otherwise encrage any persons other than your immediate family, and the work (including materials
and othtr costs) is $200 or more for the entire projact and such persons are not licensed as conctractors 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.
c, 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 owners who are not license�d contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frNuent practice of unlicensed persons professing to be contractors is to secure an "o -Amer -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.
0
I X
Micl#el C. Vieir+ C.B.O.
Majager, Building Inspection
NOTE: This Own'er-Builder Information is� required by Section 19830 of the California Health and Safety Code.