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HomeMy WebLinkAbout060-090-030AP 60-09=30_ Audrey Gross GROSS, George �_ _ r_.-- 367-68B Humboldt Rd:, DuL'Le Meadows 297-6RE - (BLDG. W/0 PERMITS - 9/29/81) ' 31 - 60-09-30 ' ' 0-09-30 along creek just past cam Audrey Gross pground, e Mei; � � (addition) ���/7oL 6 250'S of Humboldt Rd.,20 .of entra�e - of Butte Meadows �l,av "•ia,, - Permit #3781-81B,E(addition/SF) 060-090-030 ;_r 04-1890 ` C .GROSS, GEORGE, ;� x ,'7038 GREYBEARD LN, BUTTE MEADOWS CONT: EDWARDS HOMF RENOV' REPLACE'WTR HTR' ' } f 4 Via' *..•"� I 7 I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041890 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: 06/25/2004 APN: 060-090-030-000 the Business and Professions Code, and my license is in full force and effect. License Class :A7? �`,�0 License Number: � Site Address: 7038 GREYBEARD LN BMD Date: 621ki& Contractor JOKVI eDW A 2K-_5 Map Index: Description: REPLACE WATER HEATER OWNER -BUILDER 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: GROSS FAMILY LIVING TRUST to its issuance, also requires the applicant for such permit to file a GROSS GEORGE C & AUDREY E signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section TRUSTEES 7000) of Division 3 of the Business and Professions Code) or that he or 308 PARKHILL ST she is exempt therefrom and the basis for the alleged exemption. Any COLUSA CA 95932 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: EDWARDS HOME RENOVATIONS such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one EDWARDS, JOHN year of completion, the owner -builder will have the burden of 1139 SPRUCE AVENUE proving that he or she did not build or improve for the purpose of CHICO, CA 95926 sale.). ❑ I, as owner of the property, am exclusively contracting with 530-893-2484 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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.). Contractor: EDWARDS HOME RENOVATIONS ❑ 1 am Exempt under Article 3 of the Business and Professions Code EDWARDS, JOHN Date: Owner: 1139 SPRUCE AVENUE CHICO, CA 95926 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-893-2484 ❑ 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 License #: 658800 is issued. ❑ 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 Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: I certify that in the performance of the work for which this permit is Total Square Ft' 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ,5 J ST. Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code anryor I hereby affirm that there is a construction lending agency for the Resoluf ns do•work indicated abov r ch fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B . Date: �4SI6 Iz • Address: PERMIT EXPIRES ON: Date ❑ 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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upontheabove mentioned property for inspection purposes. r "o Print Name: B Z VlCK I I P D Wix� S SignaturgL�- rleLL'L Date: &—d s – y t� ❑ Owner Con ❑ Agent for Owner 0 Agent for Contractor L OT BUTTE o�0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o - - . '• = 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 COUNAy A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Namec R cr- Com ) o first Name O Address 9035Y O3 e r r_> Ln CityFO `_ e %'-" � St to C C Zip ( F59 f D Phones _ 993 - Fax E-mail CONTRACTOR Name eD-AK,z> Address 51�121�C� City ` o State Cn- Zip hone -b�3 A Fax -mail F Lic. d Class,8 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name �a /I C-20C,d Address we_ City 0 State LIAI State Zip Phone E-mail Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name �a /I C-20C,d Address we_ City' 0 State LIAI Zip 5 fd Phone F E-mail Page APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION API _D(o 0 Property Address City Cross Street SRA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 o REV 6-16-04 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 o REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (1VO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ . 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!), ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 3781* -813,E �! PERMIT NO.. y a{ <PERMIT EXPIRES I >V jr • i r I Audrey Gross' o; •4 OWNER , J owner I • F+ }. CONTR. h 69-09-30 ASSESSOR PARCEL i .� LOCATION 250'S.of Humboldt.Rd.,200'E.of entrj ande of` Butte Meadows camp greund Butte Meadows }I . r.. Temp. Power Pole C a Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) • � i Signature l' j • k 0-5 ME4$AGE TO M, 0 F DATE TIME PHONE &/ -&,o I �?, 1 09 1916 - Cq0 12� -Ej-re—lephoned --Z�Ieose Call F1 Was In El Returned Call El Will Call Again El Wants to See You Information Note and Reply Comment EJ Re -rout- Signature Investigate 0 Return Approyul Contact Me File Forwarded k* Per Request A f1w MESSAGE: �YAV L -A By J = OK 0 ='Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS - Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch r 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.-Connec.-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./ P'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 Card -BI Date Card -BI Date Card-BIDate Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compact i on-Structure'Stab i I i ty 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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 B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 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 V = OK •, 0 =*Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) " 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings tg., Main; Soils--E40o_4fnd.- /LQ /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3• It 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection pth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5L-ST15mwalls, Main; 52. Siding -Nailing -Veneer 46 Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers -F' I 54. Glazing Area -Glass Protection -Skylights -Plastic - -Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts - hors 1- ors -Regulator -Service Test 11. bund 12._ ; Clearance -Material -Support -Ins. (a Gi rs Sills chor Bolt Joiq ent rile Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date �i _ Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap-CookingClearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation-Foam-Looked o am -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks [:3 Yes E) No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 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 -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 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. Furnace -Vent; Access -Comb. Air -Return 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 -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date at Final: Date FRAMING(Plans) OK except p's/Comments 36. Sills; Proper Material & Anchors p�(f _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders &Floor Nailing /j/(f((j 39. Draft Stop in Walls (rat proof)������NfIZ����`�� �T 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing O�iJDJC S 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat -- -ll� 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541 APPLICATION AND PERMIT ASSE SCR P CEL NUMBER fJ �— O — 30 ING ZO —'Z BUILDING PERMI OWNERTELEPHONE " 11dr)e SQ. FT. OCC. BUILDING VALUATION 3�ZI OWNER'S MAILIN A R S 30 P. ds44_,4. CONTRACTOR -5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A � `� `� UNKNOWN Total Valuation $ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Z,00 ARCHITECT OR ENGINEER Ve " ``� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS — Permit fee $ /C9. 00 BUILDING ADDRESS 2Sp r S ✓ 200 •.� PLUMBING PERMIT Filing Fee 10.00 ,/ @�� 'Yf✓cc �c�l��d �✓uG/J - ���"C� Each Trap 2.00 Repair drainage or vent piping 5.00 Y lkfaef i 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 ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DW (,�� CCUP.N OR ADDNS. ( A , B.� 20S ft q 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR(MULTI-OUTLET 2,50 ea NO N.R ESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS &I\ NON-RESID, SINGLE OUTLET CIR. / 50 Ex. OccupOUTLETS OR FIXTURES BAL�1 IXED APPLNS, OR EX. OCCup.�OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 77 Permit Fee $ Contractor MECHANICAL PERMIT Filing 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 Cooling Hood 3.00 Ventilation penult Fee S 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 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 ag • st said Con m consequence of the granting of this permit. X Date to Sign t re of Applicant — Owner ❑ Contractor El Agent An A permit is required for excavation over 5'0" deep/d demolition or construct- ion of structur over 3 stories in heig t. Mobile Home Installation Fee $ o TOTAL PERMIT FEE $ X310• %� OCCUP. GROUP I TYPE OF CONST. 17ZAR7CELF�Plo Na 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR OF P LIC r By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � DLf%NITE-D. / nn [Receipt NoZs c�i1 �v G S P. W.,-OW-A58C930R, PINK -I PEC TOR. GOLDEN OD -APPLICANT �..�»M.+��..w„r,,3-w-�,�.::h�sf...R.pw•r..r.�,,",r..rr .,wv..woa IF F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILD`ING DIVISION ` JP�G- UNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 -•' PERMIT APPLICATION DATA SHEET Permit No. OWNER vd �� plc ✓v y A. P. No. 6 U - 0 p 3 a Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation /1 Other (Explain) Building Inspector Date -"U 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 have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4: Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 77 Statement of Intent for Non -Heated and AC Buildings. (11— 8. Fees of $ Z '7 S` . . , . , . , . 0 �9. Letter of signature authorization. . 4_ 10. Sanitation approval from oi� ( CC Health Dept. 11. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . 3 Contractor's License Information (no., name style, classif.) ✓- 14 Owner -Builder Verification (Given to owner, Mail to own 15. Improvements may be required. . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . Pre-Inspec. request to (Dote) . . 17. 11 Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as flews: Mail wme,�.,,s, V—MakI to�°ntr tor. _ and`t%d for pickup at°�= C -office. �_iDeliJerynspector. Other V4'"" $"°`f Appl icant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuances; (For required items not checked above a t o a plcirc e item.) 1. Index permit for above Items No. 2. Addi ional items required: ©znam =A (Contractor, Designer Owner) as advised of above required data y Tele one / � Maaii/ Other By Date Plans checked by Date Plans approved by Date _/P -- Other: Copy—DPW To.- Building Department From- Environmental Health Subject: Sanitation. Clearance Ener I cation Plan approved for: sewage disposal water supply � Fold feral for:, crater supply Final clearance O.K. for.- cJater supply Clearance ,for bedroom mobile home. Other NOTE` * • 1 /0/ -?-/ COUNTY OF BUTTE - Department of Public -Works 7. County Center Drive; Oroville, CA. 95965 Attention Property Owner: OWNER -BUILDER VERIFICATION 9 Phone: 916-534-4541 An "owner -builder" building permit'has been applied for in your name and bearing your signature. -Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received-.. 1. I personally plan,to provide the major labor and materials for construction' of the proposed property improvement (yes or no) -2.- (have/ ave not) signed an application fora building perm or the proposed work. a` .. y 3. I have contracted with the following person (frm).to provide the proposed construction:ti� -t. Name Address A."j'''" City PhoneContra'ctors;. License Nw'� 4. I plan to.provide,portions of -this work, but,�til°.have hired the following' V �. person to coordinate, supervise, 'and provid°eithe major work: Name , �:; Address s City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: I .: S igned : Property Owner Social Security number Date 7f0-9=42, NOTE: This Owner- wilder Verification is sent to you as 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. J78/ 8/ 60--093 y � �Up'rej/`pSS l �\ �e44 COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 Audrey Gross 308 Parkhill St. Colusa, CA. 95932 With reference to the above subject: ;MM/ Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information PHONE: 916-534-4541 DATE October 15, 1981 RE: BUILDING PERMIT APPLICATION x`3781-81 FOR ADDITION A.P. #60-09-30 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER Copy of "Owner -Builder Verification Form". / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to -Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registeredlcivil engineer or architect. Engr. calcs. sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7. County Center Drive, Oroville, for Copy of recorded parcel declaration. Recorded copy of deed showing. OTHER Method of compensation payment to Mr. James H. Been. Should you have any questions concerning the above; please contact this office. Yours very truly,` Clay Castleberry Director of Publi Works Glan er JFG.:dd Chief Building Inspector .. NOT�t—f�+�s'�'i!! �sll Maferials Worke in I /� J A _ 1: !_ S RncneCniied G,4,, d r P, aC}+CeS -and _ } " r—Acco'Fdance will I c�; �ss6 in the of CJi ���cri t'ree c 9 i• t 'r' Codes' and- /(S� raii.c Uniform 13uil:�e;n^; soa+ r{l n 0', Electrical Code. + � I �l i r i I :' r s"se} of tans:and s ea'T' a}'ons m l�ep}. on fie falx; a} all }s; mer i and it is unlawful }o rnak6 any cliantics �r mterf,l'.oAs on S.ec"IG`` without ! written �crriission fi.or:-, +he 'E+o;a,'t'n!F'r�} of Public Works, Coun}y:' of ;QU00. b4. r�c II _ .y F• 1 '— . ' 4 � i �- r i,. I �;_ 4� s .E. , { 1 , i i � /'Ov��p/'sUv, sCti T1 �L-�V��(' s�o N BUTTE .�®i11�ii( t, evrN� ...4 DING DEPARTMENT Sul r� +� ,/ ry S- i I T _nP* VrA Q j.4-c- ld" IC IT— 1 7_7- t A_ STATE RESIDENTIAL ENERGY REQUIREMENTS for this building The minimum O Degree Days, and ..�8.y- Design Temp. are: ............. Insulation: Glazing: Single -allowed; �- sq. Slab edge ------ R - p .� Sing!e-actual; Fdn. Walls - - - - —' - --- �8. 6 / — Spetfsl-allowed; sq. ft. 7,,;!. 8 sq. ft. G0 poo' PO of ' Floors - - - - Walls - - - - - - - - R // o O Special -actual; sq. of required Ceiling/Roof - - - - - ZZ' d o IV q Vapor Barrier ^ g. Vlds. & Drs. -cert. 8, labeled Circulating pipes - - - Ducts Tah!e IJ -D U.M.C. Swinging Doors g g weatherstripped back darnpered • Htg. & A•C•:� Exhaust Fans Gas Pilots intermittent ignition [S!'�K"9 X Type �, All Appliances certified ,BTU Max.---------------Q;har: '` Wtr. Htr. Type f " + t_ I f. f '2ND IST — —LOO r install smoke detect or- peri code, •it't�H �s,w�yI493�.N%4k: -" �o_ _oma -._i — --�-------•-->�-l�0'Irt.__'�-e✓ -CIL'a - CT w 0 C { ' �__.i _. _.,-may •. _''- _ -'-'- X34 - - � e I I i i - � { I I + � 7 } 'S- •;.._-_._ i ____ _ l.r_.1 ._ ....+..: - l.. t. r i /.•1..• t � ,'.` �_ i : � : , � _' t � _ ; _j•._ --� i $6'11 t 611 kT. Is BUTT! ='lf •� b Per' 4'/ 5�; ". I•® Bt 1WING DEPARTMEN10 A:PPROV 47- 9 �EAC� LVNES I j-- - -4- 4 - - - -------- T— A setback of 5 ft. I r'om!the, back -,-_—.--propeirt�. lines and a set Qf 50ft. ,f ror)l tHe road Ii - cczitf6rfine shall be clear o JsfirvcYures or equipment except 1 4 a 2 ft.-eaveoverhang. i IM L I,W-- APPROVED; t -j i � � I ' , ' 4 IM � ' .1. M '. t, ``�;� �.! /, � � t, . r ('yak � �.• ' } � I 4.•_. ' it .,� { �. ' . ^ s•'""it ` 'I!I �-• •--I - r�-{ ;M �+��- I } Z iC?8'7 ��'C �'-�k •�. _ . «-. j•� ljj '""�' �.�'. t....:._I•. �... .�.. ; t���"� .� ,�' •t, , i.,. � 4s,t � t �, t • krr 4 I ` I . , I `r Aw : _� .r . ..r �__I _ I -L• . ' .r� ! ; _ _� -i {{ (-^ r- I ... ,.I r-•1 r; a •. ' I + � �� .. _I ,�� � �. � � ,1 •.. �.. �p,N. •� �.p� 1..�_J I . I... i _ :..:,y,. ^ �t � � I.. _.. � _.—'. _..,_-1....., i �< C/�:. �r� ®® •�® t1 1 t'' , I _1 I. t 1 } { .I I f { I i t {..._•, _.. .�•+I. ._r` .._-'_,._.}-,a..,- to—#,i .. ,• _I-.._} •1 �_-^I—' a--_-,I._--....:..__?-�_,._�+�_r_i IST 1 I i L®eV-,tr AT co WE K t� C D) - .. _. - ._-;_ .�. .__-+ - -`• -;-. •-jam•- - -_. _.-___ r _. � _. � I _ �y._L..ff-=d. �^ � L.�+y-4 .' .2)(4,•.-PLATE ........ � .. _ .. 'f', r � 1, y: ; 4. ,I .. �; • ' i : I .n Sv ' ,< , � _ ... • ... _ 3 . � 'i. ,, v: �y � •� r � •. j ar� r , {r: � ,� t j I '� I , ms""QO" �/A ..`_....f,__ _. :.. _F--L op L---J I V-� r`1 ^�O_%•.-_._,}.,.,,._ , ® f n � / t • �, a .i ' :'t`,j -�,w) �t+T i•` �• �,'� � � i � +n I -f I 5 pp�**__�___.../��, rn Z.- - : _ ..� -t-- _l ®U N. D Ai'.6 h} :� _ + i3 oc.y File No BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information Director Cap. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. wool D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & P 1. Maps Permits iK • .a Audrey Gros's 308 Parkhill St. Colus La, CA. 95992 `r� ....... utto Count ,. LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD October 1. 1981 Deputy Director RE: Building Permit A.P. # 60.09-39 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Constructing a 2 -story addition to a dwelling on youtproperty off Rmboldt Road. Butte Headows. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete'sets'•of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFGGjdd cc: Building Inspector, Chico Assassor Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Chief Building Inspector �y v Owner: Addres Tenant Buildi Type c , BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT 1. dousing ,L 2. Financing 3. Change of Occupancy to E,1�4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: Lavatory: Bathtub or shower: Kitchen sink: Hot and cold water to fixtures: Heating facilities: Natural light and ventilation: Room and space requirements: Bedroom window or door for second exit: Infestation of insects, vermin, or rodents: Connection to sewage disposal: Connection to wate=r supply: Rubbish and garbage facilities: Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and 2. Receptacle:. 3. Fusing: 4. Canui ent s : ground:_ D. Plumbing 1. Fixtures; connected and vented: 2. Gas water heater: 3. Cas heating vents_ 4. Comments: T 1,ta -e c ,d ✓eft �� � A5 0� F�-d� 14e' wou M 0- ff, 4e. iz L - _1_\ E. Other 1. Maintenance and repair: 2. Fire Hazards:- 3. Safety hazards:^._ - 4. Weather protection: 5. TJuderfloor and attic ventilation: 6. Conmsents: F. Commercial Buildings 1. Rcof covering: 2. Distance to property lines: 3. Physically handicapped: 4. ^estroom floors and :galls: 5. Exits: _ 6. Improvements: %. Zorl-ing.-. 8. Coanmzrit:= : G. Field Probleias or Vlcla;.ions 1. Proble o~ violation (give complete descr.iptic,..) : 2. Wt.,qX- action).. (give can.plate descripti.on): 3. What ac.EJon recommended: A. only - fie,,-. B. F ld for ten (10) days, then wri::c letter. �. rlri.t.e• 7e'.tox. % D. Other: It � s