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058-520-043
0 0 `Gregory D. Siebert ASF orner of-Pulga & Big Bend Rd., Big Bend Area Permit 1 463-81B,P,E,M(new single family) 5' *- 21-134 Permit #346-82B(lst enewal/for permit #463-81) 58-21-134 Permit#309-83B•2nd renewal/463-81) 58-21-134 ?erm710-84B(3rd renewal/463-31) .... 8-5 -43 ,New- 0-dher:--Don-McLean- -FT _____.... 4377 Big Bend Rd, Oroville'F 7 Permit#1159-87B(open deck) 058-520-043 PERMIT#94-2462 MCLEAN, DON 4377 BIG, BEND RD., OROVILLE CONT:'FOUR COUNTIES ROOFING REROOF/SF 058-520-043 02-04720,fME KERN, KERN, Jaime 4377 Big Bend Rd., Oroville Install Backup Gas Generator/ 058-520-043 04-0979 MCLEAN, DON 4377 BIG BEND RD, OROVILL LED Cont: NEW GARAGEOR HOMESt;` Lrl) 19 NOTES i RESIDENTIAL- PERMIT N0. — 058-520-043 04-0979-, T ' MCLEAN, DON'` ' 4377 BIG BEND RDN, OROVILLE . w Cont: ENDEAVOR HOMES { s NEW GARAGE Ora L. I 11 t I A 7 SPECIAL CONDITIONS i CHECKED BY SRA t FLOOD CERTIFICATE REQ. ., FIRE SPRINKLERS REQ. f SPECIAL INSPECTION ITEMS f VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Address Jle- GAS Date Meter By ELECTRIC pate Meter By JOB FINALE D at Signature J=OK 0 = Not OK CApplic NotReadyable 7. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch 1. Setbacks -Easements 3. Sewer; Location -Test -Fall -C/0 -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 12. 6. Gas; Location -Test-Wrap; -/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date QE55,7COVERS, CARPORTS, GARAGES (Plans) OK except #'s o ' equirements-Setbacks-Easements U ' ✓ 2. ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders ainl /or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C -orts; Windows -Doors Rftrs-Trusses 7. Well Clearance & Disconnect Pool Structure; Steel -Connections -Thickness Dead Men -Lining 8. Utility Clearance Date (J Card B-1 Date Card B-1 Date POOLS (Plans) 6K except #'s 7. 1. Setbacks -Easements Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 12. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date QE55,7COVERS, CARPORTS, GARAGES (Plans) OK except #'s o ' equirements-Setbacks-Easements U ' ✓ 2. ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders ainl /or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum Awn.; Columns -Connections -Splice -Decal -Enclosures 6. C -orts; Windows -Doors Rftrs-Trusses 2. 11.!. 3raced Wall Pa els r Pool Structure; Steel -Connections -Thickness Dead Men -Lining DateCard B-1 Date Card B-1 Date (J Card B-1 Date Card B-1 Date POOLS (Plans) 6K except #'s 7. 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability r 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI- 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test f 11. Light Niche - 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 AFM J=OK 0 = Not OK - = Not Applicable w = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK acept #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Glazing Area -Glass Protection -Skylights -Plastic Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. Brace Interior/Exterior Wall Panels 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 64. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 36. A.C. Ducts Insulation & Support Garage Fire Door; Swing -Landing -Closure 37. Vent Fan, Exhaust above insulation A.C. Duct in Garage -Damper 38. Condensate Drain & Overflow, Size & Grade Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Plb.; Elec. & Mech. Equip. Listed for Location 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 82. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 83. 43. Bearing Walls over Girders & Floor Nailing 84. 44. Draft Stop in Walls (rat proof) 85. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 86. 46. Headers & Beams -Size & Bearing 87. Water Well, Disconnect, Electrical, Plumbing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Sep 21 04 09:4Ga Endeavor Homes 530'534 5269 p.2 r.lpr L1- U4 01--b+p Ue-s-tern 4laads Ewp 'Rick 53U343L124 P.1 e AIAL% —Certificate. cote of Conformance \ Certificate THIS. IS TO CERTIFY that the glued-1AMOnarart timber Pros ��with_a_co{lect" n%w$� of, Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associaled-specifications in iraleri halrw; ANSI Standard Al 90.1-1992, For Wood Products Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For-Determining-D.esign.Stresses- AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Tnibec Ot Softwood_ Species IT IS HEREBY CERTIFIED that the APA EWStrademarked structural glued laminated timber members were'producedin amanutaciudng-facility sub;ec!_Wegulacat ditsin_accnrdancemciththe-Eagiae ►ed, Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the` manufacturing process..-and_e-valuaiion of the. im plant-OA-prngrarn with-adegr,ate sampUng_ta-uedtX. conformance to industry standards for lumber grade and glueline bond quality. V-11 I M y+ b.y Ant Thomas G. Williamson Executive Vice President £NGWEEAED WWW SYSTEMS is a totaled corporation of APA - THE ENGINEERED WOOD ASSOC/ArloN 7011South 191h $veer- P.O. Box 11700 - Tacoma. WA 4M11-0700 �+e {25� 565 6G00 -:ax Numboc (2S3) 5657265 BUTTE COUNTY ' DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040979 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/17/2004 APN• 058-520-043-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4377 BIG BEND RD CON Date: Contractor: Map Index: Description: GAR (576) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MCLEAN DONALD & JAIME L to its issuance, also requires the applicant for such permit to file a 4377 BIG BEND RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MCLEAN DONALD &JAIME L PP Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 4377 BIG BEND RD such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ,1, as owner of the property, am exclusively contracting with ` licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of usi s and Professions Code Date:' Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 576 S. F. Poli y#: Valuation: $13,824.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: C �JCi 0 Aimt�vrrf- e�elU S �i Applicant: WARNING: Failu to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her by issued under the a icable provisions of the Butte County Code ?nftr I hereby affirm that there is a construction lending agency for the Resoluti ns to d work indicated abov for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) J-7— % /�'�f By. Date:! / — V l Name: �7 r �n ! �' (15 Address: PERMIT EXPIRES ON: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. r Print Name: Jkln,67 ztl�-1���1 Signature: Date: ;)Owner ❑ Contractor 0 Agent for Owner 13 Agent for Contractor TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.'AWSE ONLY PlotAco Ren Att ached F%os Elmn Attached ✓ Soni to B.D. ! Owner Location AP# Plan Approved for: Sewage Disposal Water Su ply: Public Private ell Clearance for —dwelling. Other Z A LIZ V^T) Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date 3 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: fy, LE�Q R r.I ASSESSOR PARCEL NUMBER Proposed Building Use: GA -a ( 57 1 Counter Technician:. 161` Date: Item s:reouired in order to apply for a permit; All bones 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. '0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A),Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C);Elevations in triplicate, (D) Floor plans,, i triplicate. All of these must be stamped and wet -signed by the engineer. ' ❑ 10. Flood Elevation Certificate, wet stamped and signed, in duplicate 4) ❑ 11. Site plan and business license approval from the City of Biggs 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner Cl 14. Hazardous Material Form ,:6 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico Oroville, as applicable. ❑ 16. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.'.:................................................................................. ....... O 18: Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by I ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20(D; Erosion Control Plan Required........................................................................ ........ ees as shown on the attached Schedule of Fees Due Sheet .............................. ity of Chico Plumbing permit.................`..........l.................... j alifornia Department of Forest plan approval paid. Senlanning approval (A) Use© (B)Parking: (C) Parcel Check:ontact Land Develo ment about Im rovements Drains e I have been informed of the above items and requirements for obtaining a building permit. Applicant:Date: y 1. Index permitap I cation for the above items numbered: Plan Check- [Atter 2. Additional itemrequired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: Date : Structural reviewed by: Date: Structural approved by: pyE Date: ' Note transfer by: Date: � F.: �- Yellow: Building Division pp , _ g ......................... 26. NPDES Form'' .........:................... ............... ... ....... :....................... b 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ' ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... " ❑ 30. Worker's Compensation Carrier and Policy Number ....................................:..... 31. Owner -Builder Verification (Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization,............ - ...........................................4......... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... 1 ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 5:;:2 . ! B9!!j and hold for pickup. P� • 767 I have been informed of the above items and requirements for obtaining a building permit. Applicant:Date: y 1. Index permitap I cation for the above items numbered: Plan Check- [Atter 2. Additional itemrequired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: Date : Structural reviewed by: Date: Structural approved by: pyE Date: ' Note transfer by: Date: � F.: �- Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER �C L�1 A.P. # OS$ 530 • 0�3 PROPROSED BUILDING USE > E'r C,&Q 570 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ DATE 4 -8 -o4 - RECEIPT -8.04' RECEIPT # 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE S" (paid at Building Division) 152•°1$ 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. DATE REC. .�ass49 s a4� Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 410.OTHER � I P 1.3$ 3q '� 6 4— At 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 Govemm t Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. (� Owner: �i°l;`[ �/��S�Q�n Phone: Mailing Address Site Address Assessor's Parcel Number: (-), g , , -Tao, o y3 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL LNFORIMATION: 1. Is there a primary dwelling on the property? Yes El No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No Q 3. Will items produced in this building be offered for sale? Yes ❑ No El 4. Will the public have access to this building? Yes [I No (D 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No El SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No S. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 0 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No 0 CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes No ❑ 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ - No 14. Will this building have a water heater? Yes ❑ No 15. n l What type of floor covering «111 the building have? 16. What type of %vall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. (Z Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered stricture intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked ##4. please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy' ❑ Other— Use = 1. Desenbe type orworlahop 2. Must be approved by the Butte Coraay Alarming Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require r e. disclosure of this information if or when the property is offered for sal O«rJA Name: Please PrintA 1 W O%vmer's Signature: Date: O 2of2 O.B.- I OWNER -]BUILDER VEWFICATIiON Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. -*I. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0 NO ❑ *-2. I HAVE ❑ HAVE NOT 4 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but. I have hired the following person to coordinate, supervise, and provide the major work - NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ' NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE:__ / g//o NOTE. This Owner -Builder Yerzfuation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" yon are the responsible party ofrecord 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 yourseh; 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 youplan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs). is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pem dt, erroneously implying that the Property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. Mc 1 C. �idira, C.B.O. M ger, Blding Inspection NOTE. This Owner Buflderinfomtadon is required by Section 19830 of the Cagornia Sealtlt and Safety Code National. Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and . Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 058-520-043 02-0470 KERN, Jaime 4377 Big B6nd Rd., Qroville Install Backu'p Gas Generator/SF ;w 47 q r) Y'6 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Is 7 County Center Drive - Oroville, California 95965 - Telephone (530) °538-754�1� - �PE MI NO. (Rev. 12/96) APPLICATION AND PERMIT '�! (� ASSESSOR PARCEL NUMBER 058-52Q-043 ZONING BUILDING PERMIT OWNER KERN, JAIMEJAIMETELEPHONE 532-28'., SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4377 BIG BEND RD. OROVZ M. CA 95%5 CONTRACTOR'S NAME SM NU SON TELEPHONE 370-30 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4377 BIG BEND RD. OROVIW CA 95%5 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP I PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY 1 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 : TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 41 Describe Work: awmmR TNSTALImm Gas piping system 1 - 5 outlets 15w00 15.00 Building sewer 15N00 Mobile Home S G W PERMIT FEE $ 35.00 r ELECTRICAL -PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: Q 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 OCCUR OR ADDNS. ( ACTICOUBTLET 3 5¢so. FT. NEW CONST. M NO Ralp, C @7.50 ; b SIPOWERNGLE OUTLET CIR. APPARATUS Ex. OCCLI . OUTLET OR FIXTURES 20 BAL p 1.50 Ex. Occup. o�X s ll OR 5.00 Temporary Service 23.00 , Mobile Home Facilities 20.00 Misc. Wiring23.00 2340 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury.one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 1 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.) 111 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. „� - `-^,� .�+If, X t t !j li. ��r� ✓ (Date If,_5 t.(_>G, _ '4, gSi'gnature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required forezc'a"�Tations over 60” deep and demolition or construction of structures over 3 stories in hyight. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 78.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (�% \By_ Mn i L4 OI t C_4— Date PERMIT EXPIRESFON ` Date Receipt No. 3 f* Ile 7f WHITE-D.D.S.-B.D. CANArY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV!ION 7 County Center Drive - Oroville-Califo nia 95965 - Telephone (530) 538-7 PERMIT too. (Rev. 12/96) APPLICATION AND PERMIT 0;E 6 ASSESSOR PARCEL NUMBER 058-520-043 ZONING B • DING PERMIT OWNERJA KERN IL 532-18 TELEPHONE 1 IQ SO, Fr, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 4377 BIG BEND RD. OROVILLE CA 95965 CONTRACTOR'S NAME SAM NELSON TELEPHONE 370-30 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4377 BIG BEND RD. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Trap 7.00 USEOFSTRUCTURE SF ]0 Duplex ❑ Mobilehome ❑ Other SPECIFY —Each Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX Describe work: GAS GENERATOR INSTALLATION Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: M 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 ,000A 46.00 NEW CONST. DW %NG OCCUP. OR ADDNS. ( a ACC. Bu)s. So 3.5¢FT; NEW REOSID. MULTI -OUTLET RANCH CIRCUITS @7.50 a R A OUTLET CIR. OWELEPPARATUS EX. OCCU CUTLET OR FIXTURES @ ,.00 BAL O .SO Ex. Occup. DuxTELErs RL.ID.DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION I ereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Dte �� Jnur of Applicant - ❑ Owner ❑ ContractorAgent PAn permitis required for excavations over 60" deep and demolition or construction of structures over 3 stories in h fight. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 78.00 HAZ. D. FEES IMPFLOOD COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date 2 PERMIT EXPI ON & I Date ReceiptNo..3 q3 P—oe WHITE•D.D.S.•B.D. CANA -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [4377 520-043PERMIT#9:4] AN, DON BIG 'BEND R l , OROVILL: FOUR COUNTIES ROOFINOF /S SF i { 4 i c ®,'•.... .-a.: � , _.` �.. ....r „�-.-.-..w �,:.,�-.-��*e..-�--r- rm�'api^7TT"`#.T..- ..,�.:���"nv.,T,.._ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive - Oroville, California X5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �;l q L, , ASSESSO ,g CELNU�,BER i ZONING BUILDING PERMIT OWNER' Dort IZcLean {X310)532-1899 TELEPHONE SO. FT. OCC. BUILDING VALUATION M sq. 2: $60.0) = 3.6210.00 DRESS / pA OWNER'S I.gA 1�� DBig Bend Road, 6rov .lie C 95965 CONTRACTOR'S NAME t1 rnir Counties C.aom (9 TELEPHONE 6) 3�+3-143 6 �"" �" ; CONTRACT Ofl'S MAILING ADD ESS 1t i��LiSc3 @r Court, Cbico, CA 95926 , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1 680.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ :39.{J'`V ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .3 / Big 33end Road, Oroville, CA 95965 PERMIT FEE $ 59.0C PLUMBING PERMIT Filing Fee 20.00 Each Trap - 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑> Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 1:1Installation ❑ Other 1:1Contractor Describe Work: reroof existing 1"tx)f with C:t"1n;Inosi.t{M1 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 23.00 2ODA OR LESS Main Service ( 200A TO 1000A I 46.00 ' NEW CONST. DWELLING OCCUP. SD. OR ADONS. ( & ACC. BLOS. I 3.50 FT. ' NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I @7.50 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one) II ❑ am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 489246j Classification (;—�� ❑ I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason ( POWER APPARATUS I & SINGLE OUTLET CIR. 20 @ 1.00 Ex. OCCU�I P• ( OUTLET OR FIXTURES I BAL. 50 PUNS..OR Ex. Occup' FIXED APRESID) EA5.00 ( . I OUTLETS (Temporary Service 23.00 Mobile Home Facilities 20.00. Misc. Wiring 23.00 WORKER'S COMPENSATIONINSURANCE} I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. g,I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. i PERMIT. FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree .to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence -of the granting of this permit. X ,Iy, j/,,{ /�,- Date a�%� /r�i F a Si?n� ur�pplicant - ❑ Owner ❑ Contractor O Agent AnOSHApermit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 59.00., HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 055 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WO RKS By Date '7„ f, PERMIT EXPIRES ON (Dote) /[j 1 �] Receipt No. D /1 q, WHITE-D.D.S.. CANARY -ASSESSOR PINK'INSPECTOR GOLDENROD -APPLICANT f COUNTY OF BUTTE - DEPARTMENT OF DEVF';OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Clafifornia 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT _ —T AssESSO LNUSSI�� ZONING BUILDING PERMIT OWNERTELEPHONE Don McLean (9 6)532-1899 SO. FT. OCC. BUILDING VALUATION OWNER'SA I DRESS !+� Big Bend Road Oroville CA 95965 sq. x-50—.0) = 0.00 CONTRAC R'S NAME dour Counties Roofing (%6)343-1416 TELEPHONE reroof PKistina roof with comp roofingZr CONTRACT S MAILING ADD ESS Crusa er Court Chico CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1.680-00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING �+3 qDJJJ PBig Bend Road, Oroville CA 95965 PERMIT FEE $ 59.0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 _ LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF IX Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation ElOther O Describe Work: reroof existing roof with cOIDz OSi _i Ori PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOON OR LESS ) 23.00 2ODA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C SFTp,, NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) IX I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 489246 Classification C-39 ❑ 1, as the owner, 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50 FIXED APPWS. OR Ex. Occup' O () UTLETS (RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. L:{ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above informationis correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of 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 consequenc t e granting of this permit.. XDate R��.S�A4 Siure of Applicant -6'0 Owner O Contractor 5d Agent An' OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TVPE TOTAL FEE $ 59.00 HA2. I D. FEES IMP I FLOOD CDF I PARCEL I PD I HD I ISSUe This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic d above f r which fees have been paid. DIR/�QQCT�OR OF PUBLIC WORKS By Date PERMIT EXPIRES ON 9- /- 9 (Dete) //^ �/] Receipt No. Ito WHITE-D.D.S. CAN�Y-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT UP 460 gag 7. 'PERMIT NO. PERMIT EXPIRES -Q & OWNER Gregory D. Siebert CONTR. owner 58 -21 - ASSESSOR PARCEL SE couer of Pulga & Big Bend LOCATION Rd., Big Bend Area 0 Temp. Power Pole 7 Ll Vq Called PG&E da 'j i Temp. Elec. Service &', f Called PG&E Temp. Gas Service Called PG&E JOB FINALED (DateL 21 Signature J=OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS . z Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except rl's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except ll's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit. 10. Cert. of Occupancy 9. Health Department Approval %, 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = f,1ot UK Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK exce t#'s Date FRA G Continued Zoning requirements—Setbacks—Easements Pr rty Line Firewall & Openings tg., Main; Soils—Steel—Elec. Grnd.— /ZZ " Ftg. Depth 49PISxt. Doors—One 3'—Check Garage -3rd story, 2 exits Garage; Soils—Steel— / :V-' Ftg. Depth —Headroom—Rise—Run—Landing—Fire Protection 4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth 50ood on Roof Overhang—Attic Vents—Rafter Outriggers A/5temwalls, Main; Steel—Blockouts—Wrapped—Slab Siding—Nailing—Veneer emwalls, Garage; Steel—Blockouts—Wrapped—Slab mesh— creed—Fdn. Vents—Underflr. Access 7 iers—F ce —tee Glazing Area—Glass Protection—Skylights—Plastic 8. D. .:qtr—FifVngs—Te —2 ay C/0—Sewer Test 9. Gas Pipe; Size—Anchors r alls; Nailing—Bolts 10. er Pipe; Te9t--And4l6r —Re ator—Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance—Material—Support—Ins. 13. ers—Si —Anchors—J sts—Vents— pies Card -B Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA P s) OK except N's Card -BI ate Card -BI Date DateBING (Permit) OK except q's Ex Steps—Door & Sidelight Protection—Landings Smoke Detector 14. ater Ht.; Vent—Access—Combustion Air 5�. Farnace; Vents—Clearance—Comb. Air—Connector— In Garage; Above Floor—Ducts—Mech. Protection -Bp W er Pipe; Test & Anchors—Nail Protection D.W.V.; Test—Fttngs & Anchors—Nail Protection 50.,' room Exiting hower Pan; Test, First Floor—Tub Access 6 F.I. & Bath Fixtures & Tub Access Shower, 2nd Floor—Tub Access Trim & a Sizes—Labels Size & Anchors 62. Staff Rails 61,! -replace or Stove; Clearances -Hearth eAe-Elec. Outlets at Wood Panel; Int. & Ext. Card -BI `.In Date 4) Card -BI Date R&6/Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking Clearance Card -BI Date Card -BI Date b6e-ET%c. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Garage Fire Door; Swing—Landing—Closer C. Duct in Garage—Damper tr. Htr • Vents—Clearance—Comb. Air—Connect r arage: Above Floor—Mech. Protection �-j F' ture & Transformer Clearance—Ins. Protection lec. Receptacles Spacing—Lights &Switches at Doors Ib., Elec. &Mech. Equip. Listed for Location 01, ze Boxes & No. of Conductors—Stapled lec. Receptacles in Garage; (G.F.I.)—Romex Protec. mex Installed Close to Edge of Studs & C.J. 72. Insulation—Foam—Looked in Attic s uip. Ground made up w/Mech. Fasteners—Bond Gas & Water 7�rd Rails & Deck Construction—Post Caps Appliance Circuits in Kitch n &Conductor Size 74. Fdn. Vents & Crawl Hole r—Drainage & Wood -Earth Clearance Looked under Floor es Subfeed Wire Size /0.24 ga r AI—A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu o AI Oven Circ. / / ga. Cu or Al, I ulated Neutral ❑Yes 75, Following inst�ll Drive es ❑ No; Walks es ❑ No; Planters CYes ❑No vice—Riser Conductors &Ground—Main Disconnect 76. Stucco; Brown—Finish Equip. Clearances; Panels—Motors—Mech. Equip. 77. A.C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size -115V Outlet es oset Light—Shower Light 7AeVents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. 7 ater Well; Disconnect, Electrical, Plumbing _ Ex erior Elec. Trim; G.F.I. Receptacle—Underground Card 8 Date% �S Card BI Date Ventilation throughout House Card B -I Date Card -BI Date 8e/Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. t—Meters Tagged; gm—Electric Ducts; Insulation & Support Water & Sewer Connected—C/O to Grade—HD Approval Vent Fan; Exhaust above Insulation Energy Compliance Certificate—Other Certificates p88,--@ondeRS2T6 Drain & Overflow; Sizp & Grade �naC�Vent; Access -Comb. Air—Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic APIA Card -BI C -_B I Card -BI Date Card -BI Date ate and BI Date Date Card -BI Date Card -BI Date rs Card -BI Date Card -BI Date Card -BI Date Date FR ING(Plans) OK except q's Comments at Final: Ils; Proper Material & Anchors Is; Studs—Nailing, Spacing & Bracing—Plates—Sound ring Walls over Girders & Floor Nailing ZVO'QStop in Walls (rat proof) ` _ re Stops; Furred Ceilings—Stairs—Chases—Tub & Beam—Size & Bearing _der gers—Post Caps—Anchors—Connectors V�2n6pJoist—Rftr.Ties—Purlinof Brac.—Truss—Shihng.—Rfng. ace _ Ties or Type A ue—Fireplace Throat ttic Access; Size & Romex Protection—Draft Stop—Ins. Baffles _ drm. Windows or Exiting Doors—Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) r Owner: -�f P r V' Permit No. %/ 0 (I ENERGY CERT IFICATION 43 n n 3 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF L Material � J Q r _ S Brand Name Q ✓' �' " ^� Thickness(inches) Thermal Resistance (R ue) - EXTERIOR WALL Material �' � R r 0. qS-P Thickness(inches) CEILING Batt or Blanket Type x5q Thickness(inches) Loose Fill Type Minimum ThicknesWnches) Area covered(ft.) FLOOR, ELEVATED Material s -�sr aj 14 S Y Thickness(inches) 3 l— FLOOR,.SLAB Material �- Thickness(inches) Width(inches) Brand Name Thermal Resistance(R Va ue Brand Name—CIO Thermal Resistance(R V 1 e)—tea Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name CU r /' N Thermal Resistance(R ue) Brand Name Thermal Resistance(R Value) FOUNDATION WA� Material e --- Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with.the State of California Energy- Requirements. FIRM NAME/0 R STATE CONTRACTOR'S LICENSE NO. TME F INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM /OWNER ( ease pr nt) STATE CONTRACTOR'S LICENSE NO. 1-17 SIGNA OF QFNERAL CONTRAC OWVER DATE THIS CERTIFICATE MUST BE ON FILE.WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 =� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT 7 County Center Drive-�Oroville, California 95965 - Telephone 916/534-454 V -- `3 APPLICATION AND PERMIT ASF`ESSOR PARCEL NUMBER '5 ZONI G BUILDING PERMI OWN r _ TELEPHONE V� SQ. FT. OCC. BUILDING VALUATION O E �I I G ADD ESS � � i �0 C CONNAME Y`Yl1 TELEPHONE �) CONTRACTOR'S MAILING ADDRESS r� FireplaceFA CONSTRUCTION LENDER UNKNOWN Q 0 7�..- Total Valuation 1 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ % 814, ARCHITECT OR ENGINEERLICENSE /w NO. Plan Checking Fee $ ,©O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 22-,6 ob BUILDING A DRESS S rPtAQ-F4.4 A4d PLUMBING PERMIT Filing Fee 10.00 Each Trap 1KJ 2.00 14r00 Repair drainage or vent piping 5.00 �I Water piping 700 LOT NO. IY SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 5.00 Gas piping system 1 - 5 outlets 5, vv USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 FE TYPE OF WORK New �ddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ c Contractor ELECTRICAL PERMIT Filing Fee 1'0.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. •*( DWELLI G C U4'•pl� OR ADDNS. ACC. B D �j 20sgft .3 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I MULTI-FOUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 i Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ $� Contractor MECHANICAL PERMIT Filirig Fee 10.00 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. Heating Q Cooling �^ Hood 3.00 3; Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, Inde nify and keep harmless the County of Butte against a bilities, judgments, osts Nand expenses which may in any way accrue ains aid Coun in co que ce o the ranting of this per it. X Date t B! Signa r of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in he'ght. Mobile Home Installation Fee $ )?C -:-i 05f r --E *f, SO TOTAL PERMIT FEE $ occuP, oaouP �_ ?� TYP aF co 7. - PARCEL PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Z I� Receipt No.4-1-7.1 7Receipt No.ByDatev�2 WHITE-D.P.W., YE -L - S NK•1 S0 T 1i, LDENROD-APPLICANT y COUNTY OF BUTTE _:.,DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - � illf, California 95965 - Telephone 916/534-4541 AP LICATION"AND PERMIT ASSESSOR_P&R^EL NUMBER - ZONING ILDING PERMIT OWNER 5���i3/�Q�//,T/ TELEPHONE S0. FT. OCC. BUILDING VALUATION owN�R's MAILING ADDRESS /7!//�f/ v �C�(�G ��/ [� ✓' CONTRACTOR'S NAME ova/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS04 Permit Fee Ii $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z�Od BUI ING ADD^RE. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition Remodel Util'ties �% l 'stallation❑ Other Describe work: /e6 - P `'`G3 "it Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. BLDGS. I 20 Sq it CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. %r 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.I.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &I NON-RESID. (SINGLE OUTLET CIR. OR FIXTURES Ex. Occu a �� P�OUTLE A FIXED APPLNS. OR Ex. Occup, TLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Not a 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this applicatio and state that the above information is correct. I agree to comply to all Cou t Ordinances and State Laws relating to building construction, and hereby au h ize representatives of the County ot Butte to enter upon the above entione p operty for inspection purposes. I also agree to save, indemnif nd kee armies th County of Butt aga'nst all ' ' 'ties, judgments, cc s and a enses is may in any w y ac rue ainst salCounty in conseq ce of t e ranti g is permit X to ` arur of p -cant — Owner _ Contractor ❑ Agent ❑ An OSH perm' is required for exc va ons over 5'0" deep and demolition or construct- Iof s LICs over 3 stories n h Ight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ /O�`D� oceuP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE rmit is hereby issued under ons of the Butt County Code and/or ork di a ed bove for which CTOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Z_ 17 8 Date 2-zy r Xr V Receipt No. '599�11 Wt1ITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 10. ASSESSOR EL UMBER ZffNING BUILDING PERMIT JZ Owrl ELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN,q'S MA NG AD RESS --- rn CONTRACT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING tDcRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL M P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ odel ❑ Uti Iities �Instptlation ❑ Other Describe work: a 2'AD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification IYI I, as the owner, or my employees with wages as their sole compen- 7� sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR 1 POWER APPARATUS &� NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 9AL®300 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Noti a 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and reby authorize representatives of the Countyot Butte to enter upon the abov - entioned p perty for inspection purposes. 1 also agree to save, 'ndem if "eeprmIess the County of Butte against bilities, judg a ts, c sses which may in any way accrue gains said County in copse eg of this per it. Date —��This 5ignatu e f pplicant — Owner Contractor E]Agent❑ An OS A ermit is required for xca tions over 5'0" deep and demolition or construct- ion of tr tures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which REC O. PUBLIC BY �' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat' — Receipt No. WHITE-D.P.W., YEL_OW-ASSESSOR,' PINK -INSPECTOR, GOLDENROD -APPLICANT J - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. , ASSESSOR PARCEL NUMBER 58-21-134 Z NING BUILDING PERMIT OWNER Gregory Siebert TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4377 Big Bend Road, Oroville 3rd renewal �ONTRACTOP.'S NAME SFE; ` M W 103 TELEPHONE 1 'CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 12 original $ 92.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 102.00 BUILDING ADDRESS SE cor Pulga & Big Bend Rd Big Bend Area PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3rd renewal/463-81 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS; 100 AMP OR LESS p 2nd renewal/309-83 ADD -L.10.00 Main service EA. ADD'100 AMP 2:50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. 1 ACC. BLDGS. 2th2SQft CONTRACTORS LICENSE LAW I 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. B sines and Professions Code for this reason 1)uryJ s ;C NEW CONSTR.MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS &.1 NON-RESID. SINGLE OUTLET CIR. / ESLD. Ex. O UTNGLE OR FIXTURES eAl.@30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 V,WORKMEN'S COMPENSATION INSURANCE I declare under iVnalty 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 oyConsent to Self -Insure. Ur-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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, costs, ind expenses which may in any way accrue against i County in c quen of he granting of this per it. e __ ��gg ate - r Signature of Ap li nr — Owne Contractor Age An OSHA permit s required for ex avations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 102.00 OCcUP. GROUP I TYPE of CONST. F PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which E PUBLIC By PERMIT EXPIRES D e the applicable provi- resolutions to do fees have been paid. WORKS D - 27-0 $ IL L Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a op r ` PERMIT NO. Q 1159-87B PERMIT EXPIRES OWNER Don McLean 'r CONTR. Ownpri ASSESSOR PARCEL 58-52-43 LOCATION 4377 Big Bend Rd, Oroville 't Temp. Power Pole i Called PG&E Temp. Elec. Service Called Pf i Temp. Gas Sei r Called PG JOB FINALEI Signature } { i 't Temp. Power Pole i Called PG&E Temp. Elec. Service Called Pf i Temp. Gas Sei r Called PG JOB FINALEI Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—SketchFootings; Zoning Requirements—Setbacks—Easements _ Size— epth—Spacin Connectors / 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; G• rs and/or J' sts—Dec ng—Bracing—Stairs—R�.Ia� 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete S. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date C - I area/ Card -BI Date Card -BI Date Card -BI )ate Date Card -81 Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI D Date r^� Card -BI Date ' OLS (Plans) OK except N's c 1. Zoning Requirements—Setbacks—Easements Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability i 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI r 4. Electricity; MH Test—Crossovers—Breakers—Clearances t 4 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval -- 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater r 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—E nc losures— Pane lboards— Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK r = Not OK r = Not Applicable = Not Ready RESIDENTIAL. (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) - 1. Zoning requirements -_Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Efec, Grnd.- /• . /" Fig. Depth ' 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Fig., Garage; Soils -Steel- ! /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -'Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouls-Wrapped-Slab 52. _ Siding -Nailing -Veneer -_ 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Undertlr. Access ____7. Piers -Fireplace Fig. -Steel -- 54, Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Ele66ic: Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. , r, 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date - Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except Ws 57. Smoke Detector 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe: Test & Anchors -Nail Protection In Garage; Above Floor -Ducts -Meeh. Protection 16. D.W.V.: Test-Fitngs &_Anchors -Nail Protection 59. Bedroom Exiting 17. Pan: Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. _Shower Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Bleaker Sizes -Labels 19. Gas Pipe: size &_Anchors 62. Stairs & Rails - - 63. Fireplace or Stove: Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. _ Card -BI. - Date Card -81 Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -81 Date 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- -' - 21. Elec. Receptacles Spacing -Lights & Switches at Doors r In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage: (G.F.I.)-Romex Protec. - 72. Insulation -Foam -Looked in Attic ❑Yes - _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked Floor G _ 26. Subfeed Wire Size./-.-/ ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, under Yes 75. Following instld.: Drive [:1 Yes ❑ No; Walks ❑ Yes Q No: Insulated Neutral 28. - ,Yes _No ` _-- Service -Riser Conductors &_Ground -Main Disconnect Planters Dyes 0No 76. Stucco; Brown -Finish - 29. - Equip. Clearances Pane ls_-Motors_-Mech. Equip_ 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. -----_- Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- - -----•------- 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground -- - --- --- Card B -I Date Card -81 Date Card 8 I _ -- - --- Date Card -BI Date 81, Ventilation throughout House 82, Glass Protection 83. Corrections from Previous Inspections Dale MECHANICAL (Pern•it) OK except O's 84. Gas Test -Meters Tagged: Gas -Electric 31. A.C. Ducts. Insulation & Support - -__- 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation - 86, Energy Compliance Certificate -Other Certificates 33• Condensate Drain & Overflow: Size Grade -_ 34. _& _ F unace-Vem: Access -Comb. T, urn Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - - - - ---- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Dale Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date FRAMING (Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors v 37. Walls: Scads -Nailing, Spacing & Bracing -Plates -Sound -^ --- - - ---- 38. peanny Walls over Girders & Floor Nailing - - - - - -- -- - - - --- - 39. Drall Stop in Walls pat proof) ------ -- -� - - - ---- 40. File Stops. Fulled CeilinS-Stairs-Chases-Tub - -- -- - - - - - --- ----- --- - -- 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connecters -- -------------------------- - -------- 43. Cing.Joist-Rfu.Ties-Purlin - Roof prac.-Truss-Shthng.-Rhrg. - -- - ---- -- --- - --- - 44. Fireplace Tres or Type A Flue-Faeplace 'fhroal -- - - - _ - - ---- -- 45. Attic Access Sze & Rome', Protection -Dalt Stop -ills. Battles 46. Udrru. WilrdoMS or Ewing Doors -Sill Hgl. & Dimensions 4?. r.lra:1' t -rt. Pnth.Cu0n Frann,rd --•----....- •--- ---------• --. _..---__-- JCOUNTY OF BUTTE - DEP.ARTM NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oreville, %alifornfa 95665 Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PA CEL NU B R a _ zO BUILDING PERMIT T LE HONE S0: FT. OCC. BUILDING VALUA N AIL N ADDRES RCOAC�1--'. 6�! A TELEPHONE OR'S MAILING ADDRESS Fireplace CONST UC TION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 19150 ARC//7//7yyyyl ECT OR ENGINEER LICENSE ND. Plan Checking Fee ,�' 11, On Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 7 l/J i Permit fee $ *Q.l PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition] Remodel Utilities [InnstaiirtionO Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 `C CONTRACTORS LICENSE LAW I declare under pens ty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force 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) [� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this jeason NEW CONST. / DWELLING OCCUP.8i\ yzQsgft OR ADDNS. ACC. BLDGS. / l NEW CONSTR. ULTI.OUTLET 2.SOea NON.RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OccupOUTLETS OR FIXTURES SOS �BAL AL030 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 49dinst said County in conseq nce of the granting of this permit. X Date Z gnature of Applicant — Owner Contractor ❑ gen(ID An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of struct;rres over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP. CONST.TYPEJ F o PA a PD'PI ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR O PUBLIC By PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. O �� o WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ed Owner v Location AP# Plan Approved for: Sewage Disposal Water Supply. Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom mobile home. Other NOTE * * * ... .. . .. ix{. .. r� _, t.• sI ��.�.'. �. .,.--,.;� ,g,. it-. .. x��: _ � ��.. �.,rOf."r• COUNTY OF BUTTE - D,EPARTMEN _,,..O.,IF�PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, PvALIFORNIA 95965 - TELEPHONE: 916/534-4541 . PERMIT APPLICATION DATA SHEET !� J Permit No. /� ea g- - OWNER 0 L' � A. / f� Proposed Building Use Building Inspector C Date V 12 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items havepeeFlric'an'be ted. . . . . . . . . . . . 2.„ Plot plans in "icate, signed by preparer of plans. . 3. Complete plans intriplicate, signed by preparer of plans., 4. Complete engineered plans and talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 11. 1. 4. _ 15. 16. 17. Statement of Intent for Nov-nted and AC Buildings. Fees of $ �d• I . . . . . . . Letter of signature authorizatio . . . . . . Sanitation approval from SOV / Health Dept. . . 5-/d Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner[], Mail to•owner ❑ ). Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval frost city of 3/0 h �4� When you issue the permit, process as follows: " Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Othpr Copy of plans sent Health Dept., Fire Dept., Other Date 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: I Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder e — Flours: 10:00 a.m. - 3:00 p.m. 4 " 0 c10"--� a" JOIST I W/ FxV, FORMED COW. CAP I j I G I b PIER LOCATION PLAN 9GALE: %q•"=1'. o" 2'IX FhAM I NG ANC4408 SRAM INC ANCHOR 2" X S" JOIST ,�' bulLp�NG► ur�E a Z" x �" LEVfs2(t OIL 1"LO V11 ,Lt1z�n F1.00� j015'T Q a h = t4." O.G. 0 0 o to N N �j _ _ �,. ►' h . cya N= e11410SI44T 030*p 1 l 11 11 11 I I I I I I Il , " 1 i " 11 � t4" 2� � z4 2�q I �� � 24 � Z+-�_ Y.4" t (,'t DECK FRAMING PLAN SCALE : +IIz I'-Q'I M FR.A M A I[ 2xto�t6 tRINCYEK 'o M M 2- Z"x?" 6p'AM c6 -l" LONG prr ....�.. Max Rise "' Min. Run Run measured toe to too. 3/8" max. tolerance between largest & smallest rise/run, DECK PLAN i 2IMENSI0*1 ANv N u M DEP, of STEPS MAY OI FPF P- WITH Jr . 015 cONPIrION 1 DEPARTMENT ZOVFFY Ak, LINA #1 12'x 16 DECK. A 8l -o" 6 OuII.GINa WNb 'Vo'o PECK 0UTUNE ',--:%- w „ tEfit� 4 W/ "xV PoWer) q CoNX- `;Apo' � /b �z Ib''{ 7� fl T' Pro$ ER LOCATION PLAN N ki S" LEDGER FMH ING, ANC44OR INCE DNCHOR�3'j�,b5 2"x8" JOIST "�I INILD1M& Ur4�—� a a Z"x8" L, ppcvER I5'- 4"LONG 11 11 1 2"x9" FLooR Jo15T Q Cfil A 2"x.10'' SKIRT AAD 24 11 z4" i 2.4" I %4" 124" � U I_ L4" 124" SCK FRAMING_ PLAN _ LE : 1/4,I .11-011 ftILOING LINE r4:x 1411z' 511 Z"X 10"STPK)Crez FR. mlock ANCHOR 2" x 10" UAR'r BONIER Z'7c1o� St�ll"v"1�., M M T2-Z11x v" beAM . l!��q" LON(r) A I L TO 6ET1•f E R W (T}( / (y &" OIL STP4r.,AZEp pryer comer BUIL ?ING D6pi " APPROVF .a li h - o� cr x x N 0 . a Z"x8" L, ppcvER I5'- 4"LONG 11 11 1 2"x9" FLooR Jo15T Q Cfil A 2"x.10'' SKIRT AAD 24 11 z4" i 2.4" I %4" 124" � U I_ L4" 124" SCK FRAMING_ PLAN _ LE : 1/4,I .11-011 ftILOING LINE r4:x 1411z' 511 Z"X 10"STPK)Crez FR. mlock ANCHOR 2" x 10" UAR'r BONIER Z'7c1o� St�ll"v"1�., M M T2-Z11x v" beAM . l!��q" LON(r) A I L TO 6ET1•f E R W (T}( / (y &" OIL STP4r.,AZEp pryer comer BUIL ?ING D6pi " APPROVF .a li .0 1 Y 4 Y S� 'T._7e, `i-_ "5JTJ'si Y+`•i-'r lY.'. - i s _ .B .�"-.•' fes' s A P� - l SLOPE'. F j a WAY SLOPE `l' 4 WELL 00 GI -77 - . • DSI. V� U�f�..•��. :': � � T 2� X � Ll o � � �� -� . � c� ! CL v): FR 0 P47 r� � ,• �. �` `• ��`� /�" 1 ��.:�. �� X37 ? ��G N _ pr Par S' l�/Q Z U % APPROVE® �J U �i e ��`iC RL' 1 Butte�County j Er sv[ nm tal Heafth Nolp TN S•/'PE Cry`' Si ardrdfla. i/G U �'�'''1 .i. "�•%:. :/s. .j, per,` .. iF�'R,` .0 1 Y 4 Y S� 'T._7e, `i-_ "5JTJ'si Y+`•i-'r lY.'. - i s _ .B .�"-.•' fes' s A P� - l SLOPE'. F j a WAY SLOPE `l' 4 WELL 00 GI -77 - . • DSI. V� U�f�..•��. :': � � T 2� X � Ll o � � �� -� . � c� ! CL v): FR 0 P47 r� � ,• �. �` `• ��`� /�" 1 ��.:�. �� X37 ? ��G N _ pr Par S' l�/Q Z U % APPROVE® �J U �i e ��`iC RL' 1 Butte�County j Er sv[ nm tal Heafth Nolp TN S•/'PE Cry`' Si ardrdfla. i/G U tA> 1 PA4rr S I P I4:ic _i i-iotsl A -A 2-Oyl.64 comp. r'ooFI�JG ISS Far PAP EF %{ Koo F 4"1h 6 1 C -UP E��PY TuJsS Z Zx4Dzl,.Tor P�1� DCKDRAFTING FORM NO. 10155 "nit I ! "1 JMA. tO e -I A i, I I LD Ej' �i i/db � II-�.'► JV.54W K611 �T \AGw _— Y, Y 1 0'ok- 6 s e M' Ufa"'! fG+'P' KIK 17 1 r I'^' u i 'T , ""' w o% -s I �'� � ,�► � � �� � ,�.II � i'_ ,,SII L X4, V 1{ �2iPa!! � �Zi•pll A '1 ® G-QIpKG 3 9 REVISIONS I BY a -I& DATE 4� SCALE DRAWN �1� •� L JOB (! 1r z SHEET OF SHEETS { • k!� ��;� .�' I-c�t� �'/�K �- 9 I bpi �A �. I I � I , �I I � � ! , I � I / I\ � I I � 3 9 REVISIONS I BY a -I& DATE 4� SCALE DRAWN �1� •� L JOB (! 1r z SHEET OF SHEETS �-� u����.�t .. � r'�l � V1�� I � i �' ��.' l�.j� '"vim' P v � SY{ i M � r�r;y �� i i � �� ! �',� i 6T t}�i dl i �d � � � ' �. '� �L� ni � i S,� 5` i � I�"i e' I �� i �i i i � j i` i � �M�' I 17 � i �' 1 ��',IM1 I �� I I �� � I I� I 1 � � 1�� �� 1k ,I { l M��1�t1 Y �. i i I � �, ii � � el � .li i 4 �, 9 ���. A I .3L� 1 r � � l VJ �-� u����.�t .. � r'�l �