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HomeMy WebLinkAbout058-230-031.10 058'=23-0-031 `a , Y 92 33,40E v Q - YOST, Blanche 3943 Hoffman Rd, Oroville elec sere/mh ll =jS ENVIRONMENTAL HEALTH CLEARANCE' R • DATE���� ?% ' 058-230-031 02-182 INAL. -: HARRELL, CHERYLE 3943 HOFFMAN RD., OROVILL DETACHED GARAGE CONVERS 1306-2232 058-2.30-031* MISCELLANEOUS Room Addn-First Stry 1, ADDITION- 2BR AND PATIO 4 ' 3943 HOFFMAN RD /� ► U HARRELL, -CHERYLE FtZJ 031 V 2a? &C1 )UNTY : OPMENT SERVICES N CARD (Oroville) (530) 891-2834 (Chico) 0 Website: www.buttecounty.net/dds ALL PLAN REVISIONS MUST BE APPRO' Inspection Type IVR INSP DATE Set acks 132 Foundations /Footings _eA111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 ! _ 3 - Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Finar-7"­ 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 ` Project Final 801 5;%' $2`e 0 MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. BY THE COUNTY BEFORE PROCEEDING PERMITS BECOME NULL A Nn VOID f Y R Vito 1L797DR-M-21- -1 COMMENCED, YOU MAY PAY FOR A 1 YEAR'RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspectar Copy . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3943 HOFFMAN RD Owner: I Permit No: B06-2232 APN: 058-230-031 HARRELL, CHERYLE Issued Date: 11/13/2006 By KCG Permit type: MISCELLANEOUS 3943 HOFFMAN ROAD Subtype: Room Addn-First Stry OROVILLE, CA 95965 Expiration Date: 11/13/2007 Description: ADDITION- 2BR AND PATIO (530) 538-8260 Occupancy: R-3 Zoning: FR5 Contractor Applicant: Square Footage: HARRELL, CHERYLE Building Garage Remdl/Addn 3943 HOFFMAN ROAD 448 OROVILLE, CA 95965 Other Porch/Patio Total 336 784 FEE INFORMATION Fire Ping Appl Fee (SRA) -Bldg $109.98 Fire Ping Appl Fee (SRA) -Fire- $95.00 Room Addition - First Story $511.41 Room Addition - First Story PC $340.94 SMIP - Residential $3.45 Total Charged: $1,060.78 Fees Paid: $1,060.78 Balance Due: $0.00 Receipt No: 461368 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 11/13/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars($100) or est s.) I�I I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LJ 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' y ^ 11/13/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/13/2006 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte Coun ty, its officers, agents and employees from any and all claims and liability for personal 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, 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 DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 11/13/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. E]Agent for Owner DAgent for Contractor INSPECTOR COPY Lender's Address City State Zip COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 1 CORRECTION NOTICE key r '�-- � 'D a -Z 70 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. Date �' % Inspector — W.1,0Ci N4 mg A y REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 A `K COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE : -'' ,I OWNERK° 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€li explanation, please contact the Building Inspector as indicated below. s' T c 4l 0 b -j V CA 1 4 I t4J oycX- �n>...q- -0, - iK=jr�l 7? Date r Z Inspector REV 4/05 Phone # �� g ' :5-3 G Y IL ,FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 {' R y.- .vim , �. •--� r-, Y ..-.— .w-� .l • _. _-- -.� �,��.- r- +.+�� �.. w� r ..-yam .-r �n .. ri„fR�• -, k: explanation, please contact the Building Inspector as indicated below. ^ ''COUNTY OF BUTTE. . • • . . . .... . BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES L, 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE S' 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 'Sz work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. /07 f T �-/ /SGL L a.} J V// fi - f Date �v / Inspector,�T_�// REV 4/05 Phone # zk "" FOR RE -INSPECTION, CALL:. 53.8-76.36 OR 891-2834 COUNTY OF BUTTE L BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Y OWNER PERMIT NO. t• 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. So lv.-�'z �ao� 5 f - CA Date w !/a Inspector 4g:L-'(z- 'Twf 7v /Z REV 4/05 Phone # 7 a S b 1 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 X BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3943 HOFFMAN RD Owner: Permit N0: B06-2232 APN: 058-230-031 HARRELL, CHERYLE Issued Date: 11/13/2006 By KCG Permit type: MISCELLANEOUS 3943 HOFFMAN ROAD Subtype: Room Addn-First Stry OROVILLE, CA 95965 Expiration Date: 11/13/2007 Description: ADDITION- 2BR AND PATIO (530) 538-8260 Occupancy: R-3 Zoning: FR5 Contractor Applicant: Square Footage: HARRELL, CHERYLE Building Garage Remdl/Addn 3943 HOFFMAN ROAD 448 OROVILLE, CA 95965 Other Porch/Patio Total 336 784 FEE INFORMATION Fire Ping Appl Fee (SRA) -Bldg $109.98 Fire Ping Appl Fee (SRA) -Fire- $95.00 Room Addition - First Story $511.41 Room Addition - First Story PC $340.94 SMIP - Residential $3.45 Total Charged: $1,060.78 Fees Paid: $1,060.78 Balance Due: $0.00 Receipt No: 461368 LICENSED CONTRACTOR'S DECLARATION OWNER [BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 11/13/2006 the applicant to a civil penalty of not more than five hundred dollars ($500]; P—leaasse`check one of the following: [ , ,j I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LLLYY2 COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR Contractor's Signature Date WORKERS' COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 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'X 11/13/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Sign re Date provisions. X 11/13/2006 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of thispermit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr any own r or authoriz to act pn the property owners b half. l/� 2006 A4 141/ CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name erml ee [SIGN] Print e the performance of the work for which this permit is issued. (3097 civ. code) wrier ❑ Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 / A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buftecounty.net/dds/ **PLEASE PRINT CLEA Y** U o - OWNER INFORMATION Last Namen �.E L -L i Na Mailing Address3� 'C City c�� State L Zip Phone,..g O Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City 0 Address Zip City Fax�� State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City 0 Address Zip City Fax�� State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION I Address 3 ciy 3 ")'r:M0 City 0 StatQ,�� Zip Phone �,�2 �-� p / V Fax�� E-mail APPLICANT SIGNATURE X For office u e only: Zoning P o e kA 3 dress Flood Zone Cross Street C -J N Ce;7A SRA I es No Occ. Type Const. UW Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 61(':�'•- ? 23 BP BIN # 13' / PROJECT LOCATION ANo - 2 . l P o e kA 3 dress City �a . Cross Street C -J N Ce;7A 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 K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc Page 1 of 2 Description or Scope of Work: 12 Sq FT- 'mn 6 o rage Open CovJ 3 StructuYe-BLit i hout 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 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. _ - n ./ Received bvi 7 - Amount: 12 CACj SRA Receipt #:461 36 y _ Sheriff 0 , / 3016 SMIP Date: � /may 3AI- S 1. 41 Other 0_ P�Total REV 8-25-06 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs). ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). If your project is located in State Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet. ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. ❑ 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. A FEE WILL BE REQUIRED AT TIME OF APPLICATION. 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 KABuilding\WEBSITE F0RMS\B1dgApp1SubRgmts82506.doc Page 2 of 2 REV 8-25-06 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: ✓ ASSESSOR PARCEL NUMBER O Proposed Building Use: &41 -TIOM, Permit Technician: Date: Items required In order to apply or a permit All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans'AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes) ❑ 5. Letter from Engineer or Architect for truss design review. • A 6. Energy compliance design and supporting documentation in duplicate. ❑ . 7. Statement of Intent for Nonheated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in ul ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form g� 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other At gaining sterna needed to Issue the permit (May require additional plan review upon receipt of ffief9Ilowing items.) �, r / 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico mroville, as applicable (� /may / O(o 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer dr and site plan apr from the Ag Commissioner Sent by1 ❑ 17. Soils Report and/or Engineered Foundation required ........................................... .18. Erosion Control Plan Required......................................................................... 19. Fees'as shown on the attached Schedule of Fees Due Sheet .............................. 20. City of Chico Plumbing permit ......................................................... .......... 21. Site plan and business license approval from the City of Biggs .............................. r 22. California Department of Fores an approval 12paid. Sent by: ............ [ 23. Planning approval for (A) Use: V (B) Parking: (C) Parcel Check �.. -*-­ .......... ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 0 025. Fire Marshall Review (commercial projects only): Sent by:. 26. NPDES Form e � 10. Encroachment Permit for driveway from the Pubic Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number ........................................... •9 . 30. Owner -Builder Verification ( Lo"Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ................................ ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other. ❑ 37. Other uP a S CJ /'i, r When issued Telephone - 'nd hold for pickup. I have been Informed of the above items and requirements for obtaining a building permit Applicant: -- 1'�- �A A /� Date: ,�-- I �2- 4 i 1. Index permit appl' Ion eabove item nu bered: Plan Check Letter 2. Additional items required Contractor, design owner was advised of the4Ave data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own , was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by Date: Plans approved by: Date: Structural reviewed by: ` Date: 10 -Nn* Structural approved, by: Date: Note transfer by Date: Yellow: Building Division BUTTE COUNTY SEP 19 2066 E.H. USE ONLY Piot Plan Anschad Floor Plan Attached �- Sant to B.D. I cv\C\ 0 TO: Building Department WEVMOPME SERVICESvT FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal 111 Water Supply: Public Private Well f Clearance for dwelling. Other C2Z/ l"�,O,oIT/off w A09-1-1-0 10e e— /Do.4yS . Hold final for: Final cle r nce O.K. for: NOTE: . 8/96 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 HARRELL, CHERYLE APN No: 058-230-031 Permit Type: F-❑� Subtype: App Date: 9/18/2006 Permit No: BP 06-2232 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA Flood Elevation Review $109.98 3 SRA* �Yes Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $852.35 $340.94 $511.41 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $435.94 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $545.92 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $514.86 $511.41 9/18/06Tammie $3.45 9/18/06Tammie RECEIPT DATE Tech/Asst 9/18/06 Tammie 4 Balance of Building Permit Fees (from No. 1 above) 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Applications After 04/15/06 Per Dwelling SFD Per Dwelling MFD County 4249.11 3183.54 Chico Urban Area 6146.23 4538.82 EI Medio Fire District 3249.97 2385.76 North Chico Specific Plan SR -1, SR -3, SR-1/PD 8801.091 7395.04 coo R-1 8897.09 7491.04 do R-2 8390.091 R-3 7604.091 6984.04 6198.04 Processing Fee is automatically added to impact fee total 0 9 IWATER TENDER FEE (Not coiiected when impact Fees Appiicabie( Enter Bat.# MH 3238. 2422.68 8486.40 8582.40 8075.40 7289.40 RECEIPT DATE Tech/Asst $100.00 $200.00 � DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek MASTER PLAN 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek New construction, vacant 774 Lindo Channel land, on 1 acre or less - 775 SUDAD Ditch Enter 1 or less acre value 776 Mud -Sycamore Creek 777 PV Ditch 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO is completed for applicant to take to respective district office. 1 $6,776 $8,267 $7,211 $6,275 RECEIPT DATE Tech/Asst $8,893 0 E OF PERMIT. Forms will be prepared after plan check 12 SCHOOL DISTRICT FEES* Oroville High/Golden Feather 110 1 w &C hoI;4 an/ 12a RECREATION DISTRICT FEES* Paradise L' - 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 Govern t e on 66020, you afa 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 protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 SEP -19-2006 01:54 PM PARADISE REC-PARK DIST 530 872 8619 P.02 1Z 1L tt D BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM Q FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) �( PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD). assessor Parcel Number (s) OCJ 0 — P�60 -- O3 f Building permit Number . roperty Owner (s) V -- l Project Location /Address qWJzAnn. Subdivision Name Assessable Sq. Ftge Type. of Residential Development (check one) New Development Single Family -Detached Single Family -Attached v-fA*lteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: O FRRPD ❑ CARD ' e RPD 0 DRPD certifies that. Number 1 S 1:1q Address City state Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. v L by Payment of. Dwelling Units C3a S per unit for a total of S if Square Feet @ S per sq foot for a total of S 19 7 12 - Remarks: i:2— Paid by Check No: _Paid by Cash: l 9T Receipt No: SEP -19-2006 01:54 PM PARADISE REC—PARK,DIST 530 872 8619 P.01 Mike T'rinca Dimid Manaaor %dis,e 6626 Skyway Paradlac, Callfomla 95969 'ecreation Tel: (530) 872-6393 .� Pik ,Fax: (530 872-8619 . Dist` d . PARADISE RECREATION AND PARK DISTRICT Fax Cover Letter DATE Please deliver fax to: NAME 1. FAX NUMBER -L ? ^ o?1 Y0 TIME FIRM Fax from: , NAME -46t-'" TITLE Number of pages including this cover letter NOTES d If you did not receive all the pages, please call us at (53 0) 872-6393. Confirm Message Sent An Independent Special District Serving Your Community I �RM_70 It71 141 A.P. Number Utff - —I& Q BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) V �(%I co � Building Department No.. � Property Owner Property Location/Address / Subdivision Residential Development Q . No of Living Units . =County Deed Restricted Sq. Footage tp (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial .' I New Addition Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. U7005 brDV,')V Vl W D„A School District certifies that �S r (Applicant) :♦r,,, (St eet 4Address) Ifr6y'\) V_Q_ �3km'�7c \ (Phone Number) ", A :� rt9S lar�t- I k, (city) r � ' (State) has complied with the requirements of Resolution No. representing � .square feet. i School District Paid by Check # V by payment of $ 82926 $ .ULL MIYIGATIQN 17- iL'otr / 4 b� Date Remarks: � e t, Nofla: You may protest the Imposition of the tees IdenNed above by submitting a written prolest.to 1M District, In compliance with ` Government Code Section 66020(a), within 90 days from the daft fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. H, subsequent to the School District Representative signing this Butts County Schools Impact Fee Certification Form, the School Disirlct Is nodfled by the applicable Local Planning Agency that this project Is being rwAswed under the California Environmental Quapty Act (CEQA), this project may be subject to additional school iasis to tufty mltlgats its impact an the school dlstrlct's schools. White (school district), Yellow (building department), Pink (applicant). feefomn.xls (3P0 Wnm Butte CounlyDepartinent ol'DevelopHielzt Sei-wces . °amu An 0 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile )BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: X 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 writing, to stop processing of the application and to arrange for disposition of plans ,, The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building ]permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained' for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: // Applicant Name: Cif7 (,// r� �� � /e/� ��� APN: Building site address: c1 %G� �Dl'�l"t�¢!y Permit No.: &-2 2,���_ Cah I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNA RE OF APPLICANT DATE �- 2z32 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [ r- J NO [ ]. 2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted/with the following person (firm) to provide the proposed construction: NAME. `� ADDRESS: t PHONE: CONTRACTOR'S LICENSE NO: 4.. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5' I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: - ' AME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: 9-- / —a�� 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 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.net/dds 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 -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o 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. o 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. o 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 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 contractor is to secure an "owner-buiWer" =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's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. 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, 'kio Scott Rutherford Vion Manager, Building Divi NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. owepFLTMENr 0 0 Department of Public Works ° C o u n t y o f B u t t e. =: a LAND DEVELOPMENT DIVISION °J. Michael Crump, O /� Storm Water Management Program k Director 7 County Center Drive Oroville. CA 95965 (530) 538-7266 QtfC WOR (FAX) 536-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction- Storm Water Permit and Storm. Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California 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 Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water 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. Signed: Title- 0 — ---. r. w 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 Oct18,2006 Cheryle Harrell '3943Hoffman rd Oroville, Ca Assessor Parcel Number: 058-230-031 06-2232 LJ Thank you for submitting the plans for your building project. The plans have been reviewed and corpments 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 prof COMMENTS: �-1. The covered po addition does not comply with 2001 C.B.C. Chapter 23, section 2320 for I ght frame construction. The covered roof porch that extends out 14'-0" doesn't comply w�* 2001 C.B.C. section 2320.5.4.2. The maximum roof extension without having to be support by braced walls is 6'- 0". Either revised the design to comply with C.B.0 chapter 23, conveonal light framed construction, or provide lateral design by a license engineer or ✓2. 5. 6. WP 6vide a braced wall schedule and /or shear wall schedule on the plans and show the locations of e panels on the floor plan. Smoke detectors to be located in each bedroom. ` Verify snow load has been factored in on truss calcs recommended 30 psi on elevation of 2100. S Show location of wall furnace. Braced walls need to start with in 8'of end wall i.e. bedroom #2 @ double windows at rear. Submit two new corrected sets of plans. 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. Vemell Bellus Plans Examiner PLAN REVIEW RESPONSE FORINT In order to expedite the review of your plans, please complete the following information and return this form with your re submitial_ I this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valir response to every item requested in our plan correction letter. `By others'' is not considered a valid response. Please indicate yow 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 REVIEW LESSER AND RJ=TURN OWNERS NAME WITH REVISED AND ORIErENAL PLANS. . DATE: ASSESSORS PARCEL NUMBER - PERMIT NUMBER RESPONSE FOR PLAN CHECK LETTER DATED r PLAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: r.LOOR PLNP 'NOMIS. COMMENTS:AT�fi ��� (PLAN CHECK ITEM # RESPONSE BY: LOCAT1pN ON PLANS/CALCS: SCO 5 FLAP f t_OO2 pc.�.� 5A -2 SIA CHECK ITEM # , RAENTS: - N CH,EGK ITEM # IMENTS: � OUIDOF 5vh0icc F _l ww^ I JUN UN PLANS/CALC �El t� c,gc 71evss I/ -J (f Z- vu�-- rctsPONSE BY- LOCATION ON PLANS/CALCS: *e,VAt4 o1r PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal• I this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a valit response to every item requested in our plan correction letter. "By others'' is not considered a valid response. Please indicate your response to each item and the location wbere the information can be found on the plandcalcs. Hl!M-n i" rVKM IPA UVPYOFYOUR PLAN OWNERS NAME ASSESSORS PARCEL NUMBER AND RMRN WITH REYiSED AND ORIGINAL PLANS. DATE: PERMIT NUMBER 'PONSE FOR PLAN CHECK LETTER DATED: - ----- ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS: o ro Loop 4 0 PLAN GI9ECK ITEM # RESPONSE BY: 7 50PP1y �coMMENrs. PLAN CHECK ITEM RESPONSE BY: " LOCATION ON PLANS/CALCS: COMMENTS: PLAN CIECK ITEM 9 RESPONSE BY: LOCATION ON PLANS/CALCS: s NOTES RESIDENTIAL PERMIT NO. 05 ' 0`2 -1820V/ RREILL, C1ERYLL 3943 HOFFMAN Iy RD., OROVILLE DETACHED GARAGE CONVERSION SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By - Da E I Y { ELECTRIC Meter B Dat D JOB FINALED (Date)'" T Signature CHECKED BY V=OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements, Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ - /'LPG Electric 7. Well Clearance & Discohnect - Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance +. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 • Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs-Type,Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card B-1 Date ' Card B-1 Date Card B-1 Date Card B-1 4_. MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 4 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ) V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single Date Underfloor (Plans) OK except #'s I Date 1. Zoning -Setbacks -Easements -Flood -Slope ig., Ma n; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwal s, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors & Duplex) FRAMING (Continued) angers -Post Caps -Anchors -Connectors ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Xkjqt Access; Size & Romex Protection -Draft Stop -Ins. Baffles j50 m. Windows or Exiting Doors -Sill Ht. & Dimensions Framing Openings xt. Doors -One 3' -Check Garage 3rd Story,"2 Exits .jL5.4 . Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 15-PTy-wood on Roof Overhang -Attic Vents -Rafter Outriggers y56r8rdlrtg-Nailing Veneer v reed -Fd. Vents-Underflr. Access r5�8lazing Area -Glass Protection -Skylights -Plastic E -19 -15h -ear Walls; Nailing -Bolts 60. Brace lnter!qrLExterioj W II anels G� Insulatio -Wa e ' gs T.� c G 62. Infiltration -Walls -Windows Date t?uCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ffia-Ext. Steps -Door & Sidelight Protection -Landings fi�oke Detector Z6. 5. ice Vents -clearance -Comb, Air•Connector- In Garage; Above Floor -Ducts -Meeh. Protection 4-06'Bedroom Exiting & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs &Rails 7 earance-Hearth 4_Z /. ec. Outlets at Wood Panel, Int. & Ext. tilt Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 7 Landing -Closure r (n Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gara bove Floor -Meth. Protection Elec. & Mech. Equip. Listed for Location 78 R., oarane@x as Garage (F.F.I.)-Romex Protection 7 sulation- Foam- Looked in Attic ruction -Post Caps 8 or Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive:1 Yesalks J Yes ianters ] Yes ]Jiv- 8 8 7. Slab, Steel -Wrapped Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8. Piers -Fireplace Ftg.-Steel 1, !6W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test entilation Throughout House 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 90. 11. Water Pipe; Test -Anchors -Regulator -Service Test Gas Test -Meters Tagged, Gas -Electric 12. Electric Lnderground 9 13. Plenums & Ducts; Clearance -Material -Support -Ins. Address Posted 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Dat r 15. Access & Ventilation 16. Insulation Date 2_ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Water Htr.; Vent-AcceWdoriibustion Baffle t$ ater Pipe; Test & Anchor -Nail• CD.W.V.; Test Fittings & Anc r -Nail Protectiori -,i�20: Shower Pan; Test, First Floor -Tub ccess 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection i!�Elec. Receptacles Spacing -Lights & Switches at Doors 825 ize Boxes & No. of Conductors Stapled 7. Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Meeh Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI 4 2L Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral p Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35.nsu alio & Support ,-X86-Vent Fan, Exhaust above insulation 37. (.DDd&^teatsxa ^-_ R Qygdow, Size & Grade <a2 Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 3g._Attir_ Ara aers & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Proper Materials & Anchors i1. tuds-Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing .A.3. Draft Stop in Walls (rat proof) 44 -Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs yA5-.Headers & Beams -Size & Bearing & Duplex) FRAMING (Continued) angers -Post Caps -Anchors -Connectors ling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Xkjqt Access; Size & Romex Protection -Draft Stop -Ins. Baffles j50 m. Windows or Exiting Doors -Sill Ht. & Dimensions Framing Openings xt. Doors -One 3' -Check Garage 3rd Story,"2 Exits .jL5.4 . Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 15-PTy-wood on Roof Overhang -Attic Vents -Rafter Outriggers y56r8rdlrtg-Nailing Veneer v reed -Fd. Vents-Underflr. Access r5�8lazing Area -Glass Protection -Skylights -Plastic E -19 -15h -ear Walls; Nailing -Bolts 60. Brace lnter!qrLExterioj W II anels G� Insulatio -Wa e ' gs T.� c G 62. Infiltration -Walls -Windows Date t?uCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ffia-Ext. Steps -Door & Sidelight Protection -Landings fi�oke Detector Z6. 5. ice Vents -clearance -Comb, Air•Connector- In Garage; Above Floor -Ducts -Meeh. Protection 4-06'Bedroom Exiting & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs &Rails 7 earance-Hearth 4_Z /. ec. Outlets at Wood Panel, Int. & Ext. tilt Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 7 Landing -Closure r (n Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gara bove Floor -Meth. Protection Elec. & Mech. Equip. Listed for Location 78 R., oarane@x as Garage (F.F.I.)-Romex Protection 7 sulation- Foam- Looked in Attic ruction -Post Caps 8 or Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive:1 Yesalks J Yes ianters ] Yes ]Jiv- 8 8 ical-Plumbing OT'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing r tiT, Exterior Elec. Trim, G.F.I. Receptacle -Underground l entilation Throughout House lass Protection 90. Cquections from Previous Inspections . Gas Test -Meters Tagged, Gas -Electric Pe -Water & Sewer Connected -C/O to Grade -HD Approval 9 ' Energy Compliance Certificate -Other Certificates 9 Address Posted Date,?7/Z .6 Card B-1 Xd Date Card B-1 Dat r Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ - --mew- _ r'..vs :.w rs.: ..s+ws^"-`-..w• _'4. y. - s1 "R,..�.Si.. J =. COUNTY OF BUTTE >. BUILDING DIVISION ' {' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 ►f 7 County Center Drive'* Oroville, CA • (530) 538-7541 �e 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 notice this office when correction of work is have an you If completed. p y y questions pertaining to this matter, or need additional explanation, 4° please cord O,this office immediately. V� ti Inspector -- v REV 1 COUNTY OF BUTTE BUILDING DIVISION , DEPARTMENT OF DEVELOPMENT SERVICES {' 411 Main`Street'! Chico, CA • (530) 891-2751 • f 7 County Center pDrive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE /L l` Date �v�/ Inspector `+� — REV 10/92 OWNER PERMIT 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, " plea.7ytact this office immediately. /L l` Date �v�/ Inspector `+� — REV 10/92 CQUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754 PE MIT NO. (Rdv.12/96) ? APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER 058-230-031 ZONING BUILDING PERMIT OWNER HARRELL CHERYLE L. TELEPHONE 538-9056 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3943 HOFFMAN ROAD OROVILLE CA 95965 528 @ 20 10,560.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10 560.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDING ADDRESS 3943 HOFFMAN ROAD OROVILLE. CA 95965 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 250.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DETACHED SPECIFY Each Trap 7.0028.00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: GARAGE CONVERSION REPLACE MH TIEAT BURNED Gas piping system 1 - 5 outlets 15.00 15 . QQ Building sewer 15.00 15. QQ Mobile Home S G W @20.00 PERMIT FEE $ 1000.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 1 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L f9p4he following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. sD 3.50H. MUL I,oµq�IDT. 11 NRLET @7,50 8 SINGLER AOUTLET CIR. EX. Occup. OUTLET OR FDRURES .00 BAL @ 1. 0 Ex. Occup. DUTlETS pp °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 61.48 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 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 theCD workers' compensation provisions of section 3700 of the Labor Code, I shall fortwith comp) with se provisions. (/ �_ D to a ure oT Icant wner ❑ Contractor Age t An OSHA, tis required for excavations over 60" deep and demolition or construction10 of structures over 3 stories in he' ht. MECHANICAL PERMIT Fling Fee 20.00 Heating GAS WALL HEAT 1 15.00 15.00 Cooling Hood 1 6.50 6.50 Ventilation PERMIT FEE $ 41.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ co r. TYPE /L TOTAL FEE $ 507.88 �HAZ. D, FEES IMP FLOOD a� PAg�eL PDH SU This permit is hereby issued under of the Butte County Code and/or indicated above !gr whi fees have By PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Date /z �� Date Receipt No. 60 t� WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT T..-�- -.. r,+ _,,,_ ."._r-__ •- "„_w�,,,._,��,,,�.�,�•` ` �s,,,�w•,r�, --•.rye-�,L-�..rr•--.•-r 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. APpL yT pTA SHEET 3 TkON4. V �/e CAI ySSOR PARCEL NUMBER OJ`�� '" •Z` �►U3, Proposed Building Use: Counter Technician: Date: }' Items:'required in order to 41y for a permit. All boxes MUST be checked OR marked NA in,order to apply. f Plot plans, 3 or 4}sets, signed y the preparer of theplans. p 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. e 14. Engineered truss details and layouts in duplicate. No fazes! 5. Energy compliance design and supporting documentation in duplicate. �. u_c�tin h m,�e�: ( ) at eet n mstalla 'on instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or I�C� atPon'pla�ns, a t m u li aY �� ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Fo da fb� nd calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-sing ed by the en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be 1 '.% zindexed and returned to the plan review line-up when required items are received. I Date Received By ❑ A Flood Eleyation Certificate, wet -stamped and,signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the Cityof Biggs....: ............................... ❑ 10. Letter of intent for non-residential buildings...............................�.......................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form........................:...................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional,plan review upon receipt of the" following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ................. ':... 5. Statement of Intent for.Non-heated and A/C Buildings ....... ......................... ...... 16. Sanitation and plot plan approval from the Environmental Health Department in t U U I ❑ 17. City of Chico Plumbing permit..................................................................:•...: ?18. California Department of Forestry plan approval"*paid. Sent 6y: '.................... 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ U. Encroachment Per t for drivew y from the Public Works Dept. (construction approval prior to occupancy). ;. 22. Pre -Inspection fore Ut�ll�r t�emCUflGyt YZ'1 N. required.: tcs...."^"L;' -^ ❑ 3. Contractor's license information.dumber, Name Style, Classification)....................... Worker's Compensation Carrier andPolicyNumber....'- '..:gin :.�':............. ye ......... 5. Owner -Builder Verification (❑ Given•to.owner,,-Q,j 4ailed.to owner)..::;:::�'�........ . ❑ 26. Letter of Signature authorization ......'.................I::. ❑ 127. Recorded copy of Agricultural Acknowledgment State `6nt`...r s .-...`?'.:-- �' :`" ❑ 28. Manufactured homeutilit' .yr)earance............................................................... ❑ 29. Existing violatio s and/or expired permits.......................................................... E ❑ 30. ❑Grant Deed, ❑ M'H: Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: W` h'cn issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 7-7-02- 1. "O.'0Z 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: 1 Plan Check Letter phone, ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: _ Plans approved,by: Date:_ Structural°appro ed'by­., Date:_ Yellow: Building Division 1' OWNER -BUILDER VERIFICATION 7 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaum Please complete and return this information at your earliest opportunity to avoid M 11' i Isary d ft in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property imp vetnent : YES G" NO 0 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed weak. 3. I have contracted with the following person (firm) to provide the proposedCOnsttl�Cdon: NAME: ADDRESS: CITY: PHONE: CONTR-kCTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAI E: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAI1E ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: ry-ev-z 07 SOCIAL SECURITY NUMBER: DATE: O')— XOTE: This Owner -Builder Verification is required by Section 19831 and 19832 4V&W California Health and Safety Code. This verification mutt be compIded &ed returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION Ce Z- PMCC-7i 0w-=-: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing dicir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible m liability if that person applies for the proper permit in his or her nae. 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 enrage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not 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 [ntemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the strucn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or Enough their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. information about licensed contractors may be obtained by contracting the Contractors State License Board in your community cr at 1020 N SQeet, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this fore so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Irely, el C. Vi iia, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section I98jo oJrhe Cali%rnla HeaUh and SaJery Coda OVER Owner Address Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE CLIMATE ZONE 11 Permit Number _lo Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included. COMPONENT <=100SQ.FT 101499SQ.FT 500-999SQ.FT 1000>SQ.FT Ceiling Insulation R-19 R-38 R-38 R-38 Wall Insulation R-13 R-13 R-13 R-19 Floor Insulation R-19 R-19 R-19 R-19 Radiant Barrier Required Required Required Required Glass U -factor .75 .75 .65 .65 Max.area of glass 50 sq.ft 16% plus removed 16% plus removed 16% Solar heat gain NSEW: .40 .40 .40 .40 Heat, Electric resistance Not allowed Not allowed Not allowed . Not allowed Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump -Split HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling - Split SEER 10 SEER 10 SEER 10 SEER 10 Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Thermostatic expansion valve' Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Duct Insulation Duct Sealing* R-0.2 Required R4,2 Required R-4.2 Required R-4.2 Required Additional water heater: • we •u a ��..... Any which meets budget �....- ... .�...�...._.. Any which meets budget - Any which meets budget Any which meets budget �•.•.. . Min m MMAIMum u.vU U-rAU I UK ANU A MAMMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENSIWATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. PROPERTY OWNER OR CONTRATOR Oz2aaez(6/1/01 E.H. USE ONLY Plot Pian AttacMd Rear Ran Atuchod Sen to S.D. I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance otj2 �� 11 -23-3) Owner Loca o ..AP# Plan Approved for: Sewage Disposal Water Supply: ublic Private Well Clearance for dwelling. Other r 1 Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 Date School District A.P. Number a� Property Owner Property Location/A< Subdivision k BUTTE COUNTY SCHOOLS IMPACT FEE`'CERTIFICATION FORM One form per Building) // Building Department No. Jurisdiction: City County Residential Development - No of Living Mobile Home Units Installation Commercial/Industrial 0 New Addition Lot No. .................................................................................................................. /V [ Sq. Footage 5 pl AdION *Supplemental to ( roup R)!' Conversion Permit # �� '7 '(No.toundati....o.n inspection): rl,.e�il .............................................................. / l ITT (Floor Plans reviewed by School District District Identification No. 030007 Gm V W` ton A h School District certifies that t (Street Address) A ••. (City) has complied with the requirements of Resolution No. ,,representing J square feet. 7 -Li - District _ yw , •• J District, Representatill -.916. raia ny GnecK 8 — v Remarks: Sq. Footage ` (Including Exterior Roofed Areas) Date (Applicant) (Phone Number) / ��49W� (Zip Code) k0q; — qD by payment of $ AB 2926 $ FULL MITIGATION:,: $ -1® ®-.. Date .ti Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the,fees in any court action. If,.subsequent to the School District Represen4ative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agepcy, that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to hilly mitigate its impact on the school district's schools. I �� White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm P 3 0 0 0 Wed Mar 13 07:41:47 2002 PAGE 1 of 4 FC -18(1/91) DEPARTMENT OF'FORESTRY AND FIRE PROTECTION FIRE REPORT State: CA Year: 2002 Incident #: BTU -002553 Fire #: 00063 Exposure #: 000 Fire Name HARRELL FDID : 04555,CDF, BUTTE COUNTY State: CA ,CALIFORNIA Year: 2002 Order Agency/#: BTU -002553 Protct Resp: 1.1 ,STATE ZONE-CDF DPA, ,STATE Auto -Mutual -Aid : 8 ,NO AUTOMATIC/MUTUAL AID RECEIVED OR PROVIDED Situation Found #1: 12.0 ,FIRE IN MOBILE PROPERTY WHEN USED AS A STRUCTURE Situation Found #2: Situation Found #3: Situation Found #4': Incident Address Location: 3943 HOFFMAN RD OROVILLE, CA Rm/Apt: Zip Code : 95965 Census 0000.00 ,CENSUS TRACT UNDETERMINED OR NOT REPORTED Temp 0 Dispatch Level: Weather: 2 ,CLOUbY Code: 00 ,OCCUPANT/OWNER Name(Last, First Mi):.HARRELL, CHERYLE Rm/Apt: City: OROVILLE Telephone Number Code: Name(Last, First Mi): Rm/Apt: City: Telephone Number 1/4 Section: SE Sec.: 03 Township: 22 Base/Meridian: M ,MT. DIABLO Addr: 3943 HOFFMAN RD State: CA Zipcode: 95965 Addr: State: Zipcode: NIS: N Range: 04 E/W: E Response. Area: E5 Battalion : 03 'FHSZ : 12021.V Prop.Mgmt 1 ,PRIVATE TAX -PAYING PROPERTY General Property Use : 41 ,ONE- OR TWO-FAMILY RESIDENTIAL USE Specific Property Use: 411 ,ONE -FAMILY DWELLING: YEAR ROUND USE Building Code R-30 ,DWELLINGS AND LODGING HOUSES Structure Status 2 ,IN USE W/FURNISHINGS IN PLACE, PROPERTY BEING USED Occupied 1 ,STRUCTR OR VEHIC OCCUPIED AT TIME OF INCIDENT Mobile Property 17 ,MOBILE HOME, MOBILE BUILDING Yr Make Model License # St IF • I MOBILEI --------- ------------------------------------------------------------ PROPERTYI Vehicle Identification Number Permit # Drivers License # St INVOLVEDI Record ID Yr -2002 Inc# -BTU -002553 Fire# -00063 Exp# -000 2 of 4 .SECTION B Date and Time ------------------------------------------------------------------------------ Estimated Start' . . : 03/09/2002 08:40:00 First Report . . . . 03/09/2002 08:58:00 Method of Alarm 7 ,.TELEPHONE TIE -LINE TO FIRE DEPARTMENT (911 SYSTEM) Lookout Second Report . . . . . Method of Alarm Lookout .First Enroute 03/09/2002 09:00:00 First On Scene . . . . . 03/09/2002 09:12:00 Contained . . . . . 03/09/2002 10:00:00 Controlled . . . . . . . .03/09/2002 12:00:00 End Time 03/09/2002 12:40:00 SECTION C Casualty ------7----------------------------------------------------------------------- Fire Service Injuries: 0. Fatalities: 0 Non -Fire Service ........... Injuries: 0 Fatalities: 0 SECTION D Completed for all fires ------------------------------------------------------------------------------ Billable Fire : No Type Action Taken #1: 15 ,EXTINGUISHMENT Type Action Taken #2: 71 ,INVESTIGATE Type Action Taken #3: Type Action Taken #4: Area of Origin 62 ,HEATING EQUIP. ROOM/AREA, WATER HEATER AREA Level of Origin Al Horz Distance From Origin: Equip Involved in Ig: 12 ,WATER HEATER Form of Heat 00 ,FORM OF HEAT IGNITION UNDETERMINED OR NOT REPORTED Certainty 1 ,CERTAIN Factor 00.0 ,IGNITION FACTOR UNDETERMINED OR NOT REPORTED Certainty 1 ,CERTAIN Contributing Factorl: Contributing Factor2: Resp Person-Occptn#1: Sex #1: Age #1: Occptn#2: Sex #2: Age #2: Occptn#3: Sex #3: Age #3: Type of Material Ign: 00 ,TYPE OF MATERIAL UNDETERMINED OR NOT REPORTED Certainty 1.••,CERTAIN Form of Material Ign: 00 ,FORM OF MATERIAL UNDETERMINED OR NOT REPORTED Certainty 1 ;CERTAIN Method of Extinguish: 7 ,WATER FM SHUTTLE REGARDLESS WHERE TANKER REFILLED Violation -Section #1: Code #1: Violation -Section #2: Code #2: IF EQUIP INVOLVED -YR: Make: Model: Serial Number: Record ID Yr -2002 Inc# -BTU -002553 Fire# -00063 Exp# -000 3 of 4 SECTION E Structure Fire Number of Stories 1 Flame Damage Ext 7 ,EXTENDED BEYOND STRUCTURE OF ORIGIN .Smoke Damage Ext 7 ,EXTENDED BEYOND STRUCTURE OF ORIGIN Roof Covering 6 ,METAL Construction Type: 9 ,TYPE OF CONSTRUCTION NOT CLASSIFIED Detector System Type 3 ,SMOKE DETECTOR; UNDETERM OR COMBINED PRINCIPLES Power Supply 1 ,BATTERY ONLY Performance 4 ,DET NOT IN RM/SPACE OF FIRE ORIG, DID'NT OPERATE Reason for Failure: 1 ,POWER SUPPLY (SHUT OFF, DISCON, NO BATT/DISCHGD) Extinguishing System Type : 98 ,NO EXTINGUISHING SYSTEM Performance 8 ,NO EQUIP PRESENT IN ROOM OR SPACE OF FIRE ORIGIN Reason for Failure: 8 ,NO EXTINGUISHING SYSTEM FAILURE Number of Heads Head Type Material Generating Most Smoke Type 65 ,FIBERBOARD, PARICLEBOARD, AND HARDBOARD Form 10 STRUCTURAL COMPONENT, FINISH; INSUFFICIENT INFO Avenue Smoke Travel: 0 ,UNDETERMINED OR NOT REPORTED SECTION I Dollar Damage Category -------------------- ---------- CDF State/Fed Local Totals Vehicle -------------------- 0 0 ----------- 0 0 Dwelling 2000 0 0 2000 Other Structure 0 0 0 0 Other Improvements 0 0 0 0 Contents 2000 0 0 2000 Timber 0 0 0 0 Agricultural Product 0 0 0 0 Wildland 0 0 0 0 Other -------------------- ---------- 0 0 0 0 Totals -------------------- 4000 0 ----------- 0 4000 SECTION J Total Resources ------------------------------------------------------------------------------ ,Schedule A Engines: 1 Federal Engines 0 Schedule A Truck 0 Emergency Fire Fighter 0 Schedule A squad 0 Other Local Agency 4 Schedule B Engines: 2 Overhead 2 Schedule B Dozers 0 Call when needed Helicopter: 0 CDF Fire Crews 0 Helicopter 0 Air Attack 0 Private Equipment 0 Air Tanker 0 Paid Persons 8 Fire Crews 0 Volunteers 7 Record ID : Yr -2002 Inc# -BTU -002553 Fire# -00063 Exp# -000 4 of 4 SECTION K Comments ------------------------------------------------------------------------------ FIRE ORIGINATED IN A SINGLE WIDE MOBILE HOME,,EXACT CAUSE UNKNOWN BUT BELIEVED TO HAVE STARTED NEAR THE WATER HEATER... THE FIRE SPREAD FROM THE BUILDING OR ORIGIN TO A SMALL UNATTACHED COTTAGE AND A SMALL SPOT OF SURROUNDING VEGITATION. Type Of Action Taken #1 #2 #3 . #4 . Special Studies: SECTION L Reporting Officer --------------------------------------------7---------------------------------- Name MASTON, WESLEY G. Title FC, FIRE CAPTAIN -A, FIRE CAPTAIN -B, HFEO Date 03/09/2002 . THE UNDERSIGNED HEREBY CERTIFIES THIS RE MRT IS A TRUE COPY OF THE RECORD ON FILE Signature - - - --------- Title--------Title ------------------------------ Date.---- -----%3_-a -�-------- -------- Insulation Certificate BUILDING OWNER: BUILDING LOCATION:, Description of Installation ROOF Material Thickness (inches) BUILDING PERMIT #- Brand Name Thermal Resistance (R -Value) CEILING /, Batt or Blanket Type Brand Name ThiclQiess (inches) Thermal Resistance. (R -Value) T_o Loose Fill Type Brand Name ght/ft lb Minimum thickness inches Contractor's minimum installed wei Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material G_ j e �� fP•t f�.b Thickness (inches) ! RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Brand Name, To 42,-)5 Iyt/+�vl�/cam Thermal Resistance (R -Value) 13 Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resir•-��' Brand Name Thickness (inches) ;" ermal Resi Declaration r"I hereby certify that the above insulation was installed in the building at the above locatiom ormance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. 0 Ge ral Con . tractor (B • r) License Number (o,4 Signature and Title Date Sub -Contractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 y COUNTY OF BUTTE )OW, � DEPARTMENT OF PUBLIC WOR 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 j 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER ?-#- manaaw- e)- 031 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. �Trr vn ��S c /rc- e au gyred \1 l�, fi Y Q G� l' ri ✓1 �Y Lt G -(eol 4 k ri to w^ O io 2 i—V Q n 0a6.`v. n o t a O p-- �, n o Le a/ it a� a ��rotrta< �o Cft�oycd �oCQ't',5" P r YM L -f `t o !A 0 - M raW-t \/.new. r-- ��tc St ryrtA. a� �e/ccl -4y �2 noytLt. Tor C0rrtc- (KC -E L� 0 (oQI„e& --�r-��,� Date 1Z- Inspector REV 11/91 Y c r PRE -INSPECTION OWiv"Fv., 6LA Jc- 40 7 O S r DATE 9Azzbz LOCATION:— Z c7 L/ 3 i l� �!-YCh /�..� (� �r?� J, j/� A. P. Z - 3 1 CONTRACTOR: p� e.— ZONING PRE -INSPECTION FOR: 4e,)e, cr/c M ✓a�*� s c-� 1. 9 DATE TO INSPECTOR PERMIT HISTORY: �xf NONE AS FOLLOWS:_ TYPE OF OCCUPANCY fWf �,% A/a,,,L � . x � �ri.gr51J,FI,ELD - INFORI'fATION3v yrotr/� BUILDING USAGE: 7,e ko v— C'Cab.n't TENNANT: r ©cam) v� e t• . �J OCCUPIED [L HAS ELECTRIC rg) HAS CJ HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: SGG �3i�C /C ; �, gip/ 0-10 < a r HAS SANITATION FACILITIES _IZI-,_. L _ V-6 ACTION RECOMMENDED: ISSUE HOLD FOR OTHER: Dan S oMe bodl./ -fc, BY_ DATE A 3 4Z- 1 04 30 J SON 71'low ,10 Od 71 Y,y .t, aX-i M. ( Su',l►�'�" �uZ '17P 0� - - - p Arw )"q ,dwtl -Cl h 7 t:( 001 ' J % tl �''v�j �ro 1 t S oma, e 9,7 t1' �' S jL ✓/tel r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3340 ASSESSOR PARCEL NUMBER 058-230-031 ZONING RECREATION BUILDING PERMIT OWNER BLANCHE YOST TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3943 H FFMAN RD OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 3943 ADDRESS ROAD OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 11 SUBDIVISION NAME CONCOW LAKE PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE MAIN PANEL & POLE SF ❑ Duplex❑ Mobilehome❑ Other —METER RAGE SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 1 15.00 Mobile Home S G 'W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesInstallation ❑ Other ❑ Describe work: 100 AMP SERVICE Permit Fee $ Contractor ELECT RI AL PERMIT Filing Fee 15.00 Main service200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of t e Business and Professions Code and my license Is In full force d effect. License No. Classification s the owner, or my employees with wages as their sole C pen- sation, will do the work,and the structure is not intended or 0 red for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Co for this reason Main servic 2DCATO1000A,_37.50 .50 NE w CONS . ( DWELLING OCCUPM OR ADDN ACC. BLDGS. / 3.3 IET NEw •CO STR ULTCH CI.OUTLC ITS NONR ID BRANR @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR, Ex. ccup(OUTLETS OR FIXTURES 20 @ 76 E . Occup. ouLETS (RESID,)R EA.�3.00 EA.� emporary service 15.00 Mobile Home Facilities 15.00 Misc. INirin g '15.00 PRE INSP rmit Fee $ 53.56 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 D partment a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -Insure. I shall not employ any person in any manner so as to be me subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you b come subject to the W. C. provisions of the Labor Code, you must forthwith co ply with such provisions or this permit shall be deemed revoked. Con actor M CHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 against said County in consequence of the granting of this permit. X Date �. Signature of Applicant — Ow Contractor ❑ Agent 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 53.50 HAz 1 DFEES I IMP FLOOD I COF PARCEL PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.117501 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE PARTMENT OF PUBLIC WOR"BUILDING DIVISION .. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER PERMIT APPLICATION Proposed Building Use 071Y Z12LfArd SQ^Lill -L B DATA SHEET A. P. No. Ts Z3 3/ nspector C _ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval re uired prior to occupancy). .. ... ... . uest o LC•P- to Building Ins re for �,�20. Pre -inspection for V � ry required. . . to Bu;�ding �nspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Qwner-Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .............. :... . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. .- ...................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontag requirements.... . xisting violations/expired permits. 32. Plan checklist . ..................................................... 33. 34. When you issue the permit,'process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date A Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By -- The following 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 -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 / I. APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZONING 23 3 t► fj( 1.5-- BUILDING PERMIT {y�/0 WN E �y/, tAJ 11 o L TELEPHONE 5-311- )21.2— . SO. FT. OCC. BUILDING VALUATION OWNE 'S MAILING ADDRESS f 3 9y3 h/o l e1 v�OVf� e 9.3 ,. CONTRACTOR'S NAME F6vie-j TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADPRESS vtn OL n 12 0( Permit fee $ PLUMBING PERMIT Filing Fee 15.00 C �� C Each Trap 5.00 C>4 0 J I Ile- Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION r [/7.-• NAME - PARCEL MAP y/-IT- Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome?V Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities/Instal lation❑ Other ❑ Describe work: _ (per S,erutce- Permit Fee $ Contractor ELECTRICAL PERMIT iy,_18.50 Filing Fee 15.00 Main service 200A OR LESS gs� Main service 200A TO I000A) CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ADDNS. ACC. BLOGS. _37.50 3.64 sq.ft. NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 ' POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OU LETS IXED PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 P,..e. :rK.0 Q04a 209S 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 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ 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 S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEES 0 .5,3 HAz 1 0FEES I IMP I FLOOD I COF I PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date ^� -- Receipt No.)/ / 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE.- Departmen`t'oi Public Works rR. %;: `7 County Center Drive, Oroville,.CA 95965 Phone.' 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: ,f_ An 'owner -builder" building permit has been applied for in your, name and bearing your signature. Please complete and return this informat"io'`h*+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,*Teceived.. , I personally plan to provide the major labor and materials for construction of the proposed property improvement, (yes or no)` _ I (have/have not). signed an application foi a buildipg permit for the proposed work. , —3-: I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. -- I plan,' to provide portions of this -work, but I have hired the fcllowing person to coordinate, supervise, and provide the major work: Name Address : City Phone Contractors License No. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social S curity Number Date 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. 1�1 k FOON 6-tzs (00g) k 14 'C4 AA '4k C' , rr cp� '4k ! A :o Z G h i 1 � r ' ' O O r Z. kY F A -,, m c m to Y% Floor Concrete 50 psf. 50 psf. Lateral loads - Wind P = C. Cq q I where Exposure B C, = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0 67 @ 20 fct 0 7 out leeward roof I= 1 . c 0.72 @ 25 feet 0.8 in windward wall 0.76s @ 30 feet 0.5 out leeward wall Seismic V=2.5C,IW/1.4R C,=0.36,I=1,R=5.5/4.5 QP0F S/p Soil Bearing Q�° �►� S y 1500 pounds per square foot Friction = 0.35 Lateral bearing = 250 psf/ft. LL m w NO 60924 7D £X P �3/,OY JIM PURSELL CIVIL ENGINEER RCE 60924 Job Number 102-07-185 Page 1 Job Name Harrell Assessor Parcel No. 058-230-031 Date 7/8/02 Analysis UBC 1997 Dead Loads Live loads Roof Comp 6.0 1/2" plywood 1.5 Framing 5.0 Insulation 1.0 1/2" Gyp 2_5 16 psf. 16 psf. Wall T-111 Siding 2.0 Framing 2.5 1/2 gyp 2.5 Insulation 1_0 8.0 psf. Floor Concrete 50 psf. 50 psf. Lateral loads - Wind P = C. Cq q I where Exposure B C, = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph 0 67 @ 20 fct 0 7 out leeward roof I= 1 . c 0.72 @ 25 feet 0.8 in windward wall 0.76s @ 30 feet 0.5 out leeward wall Seismic V=2.5C,IW/1.4R C,=0.36,I=1,R=5.5/4.5 QP0F S/p Soil Bearing Q�° �►� S y 1500 pounds per square foot Friction = 0.35 Lateral bearing = 250 psf/ft. LL m w NO 60924 7D £X P �3/,OY r A NaLYs ►S _ �FRo v7- IaAw nn9L`�'1 s°G tyPS _62.68,sY/cX`I 51L� ►b ,^%WAt�.' 8�y(zY�73 zY'l�l c ISs� I' - I`a 1 oz lbs _ Go �/ z_s636)(02-56), b 011e c.4- zO v APA PL.-er„a�or.-�, GO'ZV.YAOt-Z'ZL CiKc, ? A ApAX::�c>;,`CF-` OP P1,AT>_ AOC -POP Aj) , a 4v *z,--/9z7o LIU• t ilk Yom/'*.. +.4t J JUIMING DEPAR r .4PPROV - . a "lu," t �ylhu PLYWOOD PANEL SIDING, WITH 8d (0.113 X 2 3/8") GALVANIZED NAILS AT 6" ON CENTER EDGE NAILED, 12" ON CENTER FIELD NAILED ON 2X DOUGLAS FIR FRAMING AT 16" ON CE LATER. T-1115/8" APA RATED PLYWOOD PANEL SIDING APPLIED OVER 2X FRAMING AT 16" ON CENTER WITH 8d (0.113 XX 2 3/8) GALVANIZED NAILS AT 6" ON CENTER EDGE NAIILED, 12" ON CENTER FIELD N COVERING A MINIMUM OF THREE STUD SPACES. AILED, W TTE C0v ! t"ILDING DERAR"I' `"ti [DA ALE: APPROVED BY: /�y = !� DRAWN 1Y AP 0 F �. DATE: .-pZ REVISED � DRAWING NUMBER 17X22 PRINTED ON NO. 1NoN CLEJIRMINT • \r ll:' h - J b. CI Gr:- >0 4 SSM-k� A>?'"� ,n9 \O f ©,,8 ,... I DGl 57/ ale_ PA,.?S 7140 lei rYX241 SS/�r,;r�� Es p q� C LL rn NO C 24 [DATE: � �•v / � APPROVED MY: DRAWN BY F OF C A,,\.\ .D' O- REVISED 4-13 DRAWING NUMBER Y'��e� 17 X 22 IRINUD ON NO. 1600" .ULLARr1OW1 0 ^1, t. .. '� �;.. .,:;� 1 1 .. '•, j .' � �. jf *'., t x �� ^1, t. .. '� �;.. .,:;� 1 1 .. '•, j .' � �. jf *'., t x