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HomeMy WebLinkAbout062-200-077oW (/BOO ~ • /' I j { \ 0(pZ /\./y\ 4. , n % 991 BALD ROCK RD . , BE#1 - .-QFE- iIrVI' DEMO BURNED SF ' ,. 062-200-077 PERMIT#94-3133 ,- CORVINOS, BRYAN ✓r`- 991 BALD ROCK RD., BERRY CREEK TEMP POWER FOR WELL & FUTURE LOT DEVELOP 062-200-077 PERMIT#96-2664 CORVINOS, Bryan 991 Bald Rock Rd., Berry Cree Demo Garage /j ` / 9 _` •, 062-200-077 PERMIT#96-2705?.` CORVINUS, Bryan & Jennifer ' 99-1 Bald Rock Rd., Berry Creek Cont: Skycrest Bldg Syst msl ^ ""`• MH on Perm Fnd 3 5 - 01 mor ml3nshlP gall Be In r7pTE: All�iiaterials �coc yzed C�,o, practices and Accordance vilith R� �. ,ciiied use of a' anty prescribed for ci - P ]>fiecha�aa� in the IIr_if - ,; ; Pl,.arnbing z 1 �% % Mug Codes and Tj ate�� , JIM The glaell r(�,uirements "�,�sap�p� CLS s4sci"ie� F his set ofpl�,.. 1 Y kepi on the f ob at and.spe est ail times Y� �'De r., arta c_b and it .l. pe es or alteratioa� unlavr to gEIOI3 $og� the �e or, she without o of Butte, part hent Of pub ilo T_ Exr57- � rWATE2 � SEpr�� WetL `rL G LANETANK 1 rlS LEA tIDE�\ �— W-4ree � 1 - 5A. ED 2.4,/pR0po5 ,�,1C,E ' �E 2$ QeE -0 0AK T l � a 7 5 ►� /00 r'FnICE � o� a FENce AGC -- 1r, -o T3E _ i (DgMoLts Hc"D REVIEWED BY BUTTE CO. FIRE DEPT. 5,=_7784C9 CALIF. DEPT. of FORESTRY UNE ❑. approved As submitted PP [� approved with conditions oer attached sheet. Signature Date ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3 D FF. FROM THE SIDE AND �-o FT. FROM T HE REAR PROPERTY LINES AND ig'D FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. $AGS •ROC K RD BRYArt � C090ad5 qql p,A����RD � E2.Ry ce��fk AIPIt 0, moo- 077 _ SCALE l �=��Di - CDF FIRESAFEREQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [� 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte-cant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds.. l 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [] 1. No roadway shall have a horizontal inside radius of 1 curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2.. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of - 3. . 2 --ZOO%% AP # '76 — 2_74J_ PERMIT # AME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but ` \ less than .800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�0 1273.10 Turnaround. A turnaround shall be provided at all II building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than I the roadway -it serves. [ ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre arid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [}�] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [� 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction )r fi_tal inspection of a building permit. Page 2 of 3 2 -Zo -7 % 6 -Z'7 d S— a4444/d-r, AP # PERMIT # 'NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10V of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 4L V Date Signature ' Page 3 of 3 1. Owner's Name: o' In IV S 2. Assessor's Parcel Number: -Z- A6 — 0 77 3. Installer's Name: 611,a-5 4. Is the site currently under permit? Yes[ ] NoN Permit No. 5. Is the site an existing site? Yess ] No[ ] (If yes, furnish two plot plans). _ 6.. What is the electrical rating of the. mobilehome? /y o Amperes. ..7. What is the mobilehome site circuit breaker rating? /Dt7 Amperes. S. What is the electrical rating of the mobilehome site? l�U ' Am eres. . _ P 9. Is the main service remote from the mobilehome site? Yes[ ] No If it is, what is. the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[/'q If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ 12. Size ofas pipe at the mobilehome site from the meter or tank: ��' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?-LL(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 13UTTF- Col 3t4 Bkjt -IG OE O V 8F5 - 1. F Mobilehome Manufacturer:_ c. Manufacture Year: 9 If other than single wide, furnish Se ! Model Number: _ 3 Width:, c (ft.) Length:. -5 � (ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: u i, ;i el a d o h Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I 1 Line 2 _ Line 2 .................................................... ........ .................................... Main Beams _ ............ .............`..................................................................... Line2 Line 2 Line 1 Line 2 .................................................................................................. Main Beasts Line 2 ........................................................................................... Line 1 ............................................. e s Tag or Triple e4 I�ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: [1A ] x 130 ]. Spacing maximum: I � ` p ` From ends-maximum:1 4` Line 3 Roof Loads:.. Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: I` From.ends-maximum:l C` o 1 i" X3 c a -3o is 1,3 o I -R -3o OVER 12/03/1906 5':. 5n:.-,3 -4 7.i; FLIGUA HOI.-IES ENG11,1EER. PAGE e2 FUQUA HFIMCS INC. BEN10,0RECON DIVISION CSR-454DP-30 T ARI.INGTON, FXAS, COLUMN SUPPORT REQUIREMENTS APPROVAI.:, MODEL 454DP MOUSING cohrrRue ION & SAFny STMOMS LOAD: 30 RQO: LIVE FEB 2 7 19?2 oal. ROOF DEAD LOAD: io 2 LENGTH: 52'-0' WIDTH; 24'-C' 'kJ'- I IAL F 17'-4' r§2 t 43 H 11 G 14'-S' COL DOWNWARD LOAD (LBS) DOWNWARD COL DCMK*ARD LOAD (L95) COL i DOwNWAR9 40AD (LOSY 1 4574 21124 —i697 q 5105 513 Cot. LN, ZZ, 7 J092 ANA I IVIC3:'14 no pAn qin uuST 13E DETSMINEID RY 0M0ING%-1'1AE1 oic REAR,tiIN r, WACKY INTO - IM A- 1E , u' , RESIDENTIAL cSN,_/T 062-200-077 PERMIT096-270— 5 CORVINUS, Bryan & Jennifer 991 Bald Rock Rd., Berry Creek Cont: Skycrest Bldg Systems MH on Perm Fnd OFFICE COPY Address GAS Meter By—Date EL Me JOB FINALED (Date)/ --7 Signature � (� V=OK 0 = Not OK •=Not t able NoReady MOBILE HOMES Date . MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils.; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete t 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-Test0rap; / /Vft. / /Nat. or/ NL9t./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date,, Card B-1 Date Card B-1 Date, Card B-1 Date Card B-1 Date MOB 4 HOME INSTALLATION Plans OK except #'s /' . Zonioo4Tr�uirements-SetbacksEasements j„_-'Footing`s; Size -Spacing -Marriage Line Test -Crossovers -Breakers -Clearances Test -Fall -Flex Connector MH Test -Regulator -Connector i -7, -Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 44:2 e'Downs-Type-Installation Cert. s aIS zits; Oi 11. Cert of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .45V L( L Date MCard B-1 Date Card B-1 Dat Card B-1 Date Card -B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .45V L( L _ OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not ApplicahlP Not Ready Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 49. 5. Stemwalls, Main; Steel-BlockoutsaNrapped 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/O -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Date 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 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 69. Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date 71. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper . 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks Q Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEI-ELOPMENTSERVICES- BUILDING DIVISION ._ _. 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75412&-2-72S PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 62-200-077 ZONING U BUILDING PERMIT Q OWNER BRYAN TELEPHONE -5028 SO. FT. OCC. BUILDING VALUATION 1352 73 008.00 OWNERS MAILING ADDRESS 991 BALD ROCK RD BERRY --- CONTRACTOR'S NAME TELEPHO SKYCREST BLDG SYS342N;694- CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 73,008.00 Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 261. 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ' 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 991 'BAT ROCK RD PERMITFEE $ -1) 'BERRY CREEK PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PA L �,/f), Solar or heat pump water heater 23.00 Water piping15.00 USEOFSTRUCTURE k SF ❑ Duplex 0 Mobilehome k Other X SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 00 ' Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation f Other ❑ Describe Worl..6 X 52 PSI 3 BEDROOM 2 BATH — V'7J Q.eryk, Mobile Home S GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMITFilin Fee 20.00 Main ServiceOOOV OR LESS ( zo0A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 y ` X47 Lic. No. � 9 ��� / 2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. ) SO. 3.5Q FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL � FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �G.� SAG/ L� /-Yy, /L9NC MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number _41 /,U C'_ 792.27 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 Xfowith comply with those provisions. X'4 Signature of Applicant - O Owner Contr ❑ Agent An OSHA permit is required for excava Ions ov deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 412.00 HA2. �^ D. FEES IMP FLOOD _ CDF PARCEL PD HD SUE y issued under the Th*Bufte ofy Code and/or inwhich fees have B PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date �0 flD.D.S.•B.D. (DA) rReceiptNo. 209419 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J. COUNTY OF BUTTE - DEPARTMENT OF D€VtLOPMENTSERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT UAPPLICATION DATA SHEET RR, a OWNER � a� Oi V ; .v o S + A. P. No. oZ – P ov Proposed Building Use _ 0� 0-�r�'°' V'� 1`,4/'0 "Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ...... 3. Complete plans, 3/4 sets, signed by preparer of plans. ..' .................. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........... ................................ . -6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9 Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 1 Fees of $ ......................................... . Impact fees as shown on attached schedule. 2. California Department of Forestry plan approval ees ... �....... . Flood elevation letter (100 year flooCal�nia ngineer... . Sanitation and plot plan approval Health Department. ......... . 1 . City of Chico plumbing permit. ............. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for P Bu,sp g I `�q° required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance ................... 0 ....... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. ' ' .25. Letter of signature authorization ................................... . 26. ; Copof recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Lette of intent on building use . ........................................ 28. Mobilehorne utility clearance . .......................................... 29. Documentation of legal access . .....................:....... . 3p: Documenta bion of 50% subdivision developed or (A) Road improvements completed _ 1' and (B),4, arcel meets zoning area and frontage requirements. ..........:.... . 31. Existing3v(Ilist ations/expired permits . .............................. . 32. Pla, ,cpe�y,33 '4... o� ................ . 33. Cell UU /r u ...o i i� i •v ' A�e M. , G e7*w Zjf t )oG. y a -e- T o v O - -v ee, —ezA,a-,-- When N When u issue theerr�it, `pproce s as follows: Mail to owner. Mail to contractor. Telephone'? j of 69 and hold for pickup at office. Deliver with inspector. .Other i Parcel Creation I 2-'9,4 Acreage Applicant Date N Copy of Haz-Mat form sent Health Dept. Fire Dept. - Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permi s ua ce: We w I A ch cked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by c�t Date Sets of plans on hold in File cabinet AP folder CopyDepartment of Public Works i TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Not Plan Attached Floor Plan Attached Sent to B.D. Owner Location AP# Plan Approved for: Sewage Disposals Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: /V Environmental Health Specialist 8/96 /Z----7- -�-C Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this mat Wr need additional explanation, please contact this office im ediately. - / COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE'(916) 538-7541 OWNER l r V tiu A.P. # —d,DO-- 07 PROPOSED BUILDING USE 2 aN �/7ia�-DATE C 2 REQ. # DATE REC SCHOOL DISTRICT FEES (paid at District Office) 2. SHERIFF FEES (paid at Building Division) Residential...... x =$, unit amt. Commercial (sq.ft.). x _$ 3.. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$_ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERIVIALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE I'i'SPECTION AND Pla I CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE e- 2- 2 C� '96-0454191 Rec Fee 6.00 j I COP 1.00 Recorded I Check 7.00 Official Records I And when recorded snail to: County of I BuildingDivision Butte I Candace J. Grubbs 1 #7 County Center Drive, Recorder I Oroville, Ca. 95965 .. 10:09am 2 -Dec -96 I PUBL XX 1 AGRICULTURAL STATEMENT -OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to berecorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural. purposes, and residents of this property may be subject to. inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit 'of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 1, as shown on that certain Map entitled, "JEAN MILLS TRACT",, WHICH was filed in the office of the Recorder, of the County of Bute, State of California, August 4, 1966, in Book 34 of Maps, at pages 49 and 50. Date: NO (/ A 9 19 4 PROPERTY OWNERS: .i State of Cali is ) County of j ) On � -bcfor�ne, i personally appeared JO K, -L -"c - vrwvpersonally known to me (or proved to me c# the basis of satisfactory evidence) t4f be the berson(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their si :iturc(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrum t. WITNESS my hand d t' i -hal seal. W. J. GOLLING i O NOTARY PUBUGCAUFORNIA O s BUTTE COUNTY Signature Seal: My Own, EWm SW. 20.20W A.P.# D &.2 - )L.o 0- 0 7 7 �•.-wr,��,.w. v-,s,c� ,...�...�''•. Y+v+""..'-.._;"''.r'� w�-i,y.l.nw..•+.�,�..-"`�"�w`!•:i: ��ers!.-;^.�,isy'+t�,,.1'...-q4y-w"�..re�r�r,+;.,v.,r�..., BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form PerhBuil.ding) School District 1-0y I H Building Department No. A.P. Number —;249o-,0-77 Jurisdiction: City County Property Owner & LA C U e- v ; ,,,v 0 5' .v Property Location/Address 9q/ • 6 a l d Rack W 13-e ri' H Cr c e Subdivison' Lot No. Residential Development Sq. Footage/ 36 2 No. of Living f MHI Addition (Group R) tr,Units oLk+ :5 +Xf;. Commercial/Industrial Sq, Footage New Addition (Including Exterior Roofed Areas) wilding epartment Re entative Date P' (Floor Plans reviewed by School District Personnel) District Identification No. g 7 0 Q 6 8 lQhayv-A 71 lis A. .I School District certifies that (Applicant) J03-3 91h (Street Address) (Phone Number (City) ( te) (Zip Code) has complied with the requirements of.Resolution No, 507 Q O by payment of $ representing square feet, AB 2926 $ 5�- 7 �6 FULL MITIGATION $ C y-q� School Distri t esentative Date Paid by Check # Remarks: Bank Number Paid by Cash�7�'��I!/ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project maybe subject to additional school fees to fully mitigate its im act on the school district's school's. 7 White (applicant), Yellow (building department), Pink (school district) �G exLC rt`-, fe f.��*W i -0 /94)dmm RECORDING REQUESTED BY: 4 iT 97-0005921' Rec Fee . 00 h Total .00 AND WHEN RECORDED MAIL TO: Recorded .1 ` Official Records I NAME County of I BUILDING DIVISION .Butte I STREET Candace J. Grubbs I / ADDRESS 7 COUNTY .CENTER DRIVE Recorder / I / OROVILLE CA 95965 CITY, _ ' 11:14am 8 -Jan -97 I COINS XX 1 STATE - and ZIP SPACE ABOVE THIS UNE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BRYAN AND JENNIFER CORVINUS REAL PROPERTY OWNER/LESSOR 991 BALD ROCK ROAD MAILING ADDRESS BERRY CREEK, BUTTE, CA 95916 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, unite "SAME'l MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 96-2705 (916) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 1/8/97 SIGNATURE OF LOCAL A ICIAL DATE COUSIN GARY'S FACTORY BUILT HMS DEALER NAME (If not a dealer sale, write "NONE'l 91265 DEALER LICENSE NO UNIT DESCRIPTION FUQUA 3/26/96 454 DP MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 14688A/14688B 52'X24 1/2" 310231, 310232 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMSER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #062-200-077 LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "JEAN MILLS TRACT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER, OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 4, 1966, IN BOOK 34 OF MAPS, AT PAGES 49 AND 50. ANENT OFy�Gdi o� • �, HCD FORM 433(A) Rev. 8/91 ZP WHITE—County Recorder CANARY—HCD PINK—Applicant GOLDENROD—Building Dept. :::::::..:: }w::::::; ::: {:::::::::: J;:: •r.}•.:: }}':.v.v:.v:.v:::: x{^:?.}i}:.>'o:•i}::.; w.}::?;;;;}}}}}}.}}}};{::: {?.}w::: m}i•.:. n::::: pw:.v::::: {:::: w.v::.v::: n:..;:: n; ,+4 fit• yjjj ��jjFF :{{ 4'�ti�:':i,{:44•':}Yi%:r\*`i.r. . 4 :•'1�1�,i Zvi. 31. h py .' �"UP Me. :: .. . is ,.h}..........x..:: i.::.....::• .. ... w....•• v.•S:{::{^;::::.vvw:::i}:{4:i4:•}:CCL?4:{{{•{:•}Y..... h .............. BUILDING PERMIT NUMBER: 96-2705 Address or location of unit: 991 BALD ROCK ROAD, BERRY CREEK Legal Description of Real Property: 2-200-077 LOT 1, AS SHOWN ON THATCERTAIN IWAP ENTITLED, "JEAN MILLS CORDER, OF , IN [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: Owner's address: BRYAN AND JENNIFER CORVINUS 991 BALD ROCK ROAD, BERRY CREEK CA 95916 INSIGNIA OF HUD NUMBER: 310231, 310232 SERIAL NUMBER OR V.I.N. 14688A/14688B MANUFACTURER'S NAME: FUQUA YEAR: 1996 OFFICIAL APPROVING INSTALLATION: DATE: 1/8/97 PHONE: (916) 538-7541 H.C.D. 513C . . ... ....... ....... ....... ..................... Cl i DEPARTMENT OF HOUSINGFANOLCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS - This unit is..a: ® Mobilehome [] Commercial Coach Floating Hone Truck -Camper Decal (License) No.(s) Trade.Name - Serial No. (s) 3102- 3X- I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on nems- 10 Date at C P/ rbc ty) (State) Signature of each affiant Printed name of each affiant ;5 c,A J C, ,-1 /,g Address City_ C14 State c/q HCD 416.6 (Rev 11/86) RECORDING REQUESTED BY: Butte County title Company AND WHEN RECORDED, MAIL TO: Bryan Corvinus aRfloyMTRR X X10900 X OX X X X 991 Bald Rock Road Berry Creek, Cal i f . 9 ASSESSOR'S PARCEL NO.: 062 200 077 TITLE ORDER NO.: ESCROW NO.: 51351 -VL GRANT DEED 95 -OP -86551 ' I { ecordi-d I. LIf..fic.Ji. aI I?er,ords I Courll.y of I FULI.e C.aridace J. Grut_Ibs I Recorder- I 8:00am 23 -Aug -95 i Rer r•'pe G.00 DOC 27. 50 COP 1. 00 Check :.34.50 THIS SPACE FOR RECORDER'S USE ONLY MP 1 The undersigned Grantor(s) declare(s) that the DOCUMENT TRANSFER TAX IS: $ 27.50 County $ City xx computed on the full value of the interest of property conveyed, or — computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale — OR transfer is EXEMPT from tax for the following reason: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Leonard McGaha, an unmarried man hereby GRANT(S) to Bryan Corvinus and Jennifer Corvinus, husband and wife, as Joint Tenants all that real property situated in the unincorporated area of County of Butte , State of California, described as: Lot 1, as shown on that certain Map entitled, "JEAN MILLS TRACT", WHICH Map was filed in the office of the Recorder, of the'County of Butte, State of California, August 4, 1966, in Book 34 of Maps, at pages 49 and 50. Dated November 01, 1994 STATE OF CALIFORNIA, } COUNTY OF b. � )_ss. . uuLtk On August. 21 , 1995 , before me the undersigned. , Notary Public,.personally appeared Leonard McGaha Leonard McGaha personally known to me (or proved to me on the basis of � is%tisf,actory evidence) to be the person(s) whose name(s) re subsed to the within instrument and acknowledged I- me thai he she/they executedthe' ame in.. his her/their 'authorized capacity(ies), and that by hi/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the per -sun acted, executed the instrument. WITNESS my ha d n �ffi i seal. Signature MAIL TAX STAT MENT �T Bryan Corvinus-9510'"'Q11 Street, Live Oak, California NAME ADDRESS *..',. B. J. GREED! Comm. #1012694 NOTARY PUBLIC C. CALIFORNIAO � eunE oouNTY A Comm. E>PUM Dec. so. tag? J (This area for official notary seal) END OF: 00C[j'.lENT 1 � � Y7 062-200-077 PERMIT#94-2989"'' CORVINOS, BRYAN 991 BALD ROCK RD.,'BERRY CREEK DEMO BURNED SF I COUNTY OF BUTTE, -'DEPARTMENT OF DEVELOPMENT SERVICES = BUIL'DING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538=7541 ; PERMIT NO. APPLICATION AND PERMIT 7"*) - ASSESSOR PARCEL NUMBER+� T 062'-20(1-07 / ZONING BUILDING PERMIT t, OWNER T , BRYAN CORVINOS � TELEPHONE 695-9314 SQ, FT. OCC.' ,BUILDING VALUATION - OWNER'S MAILING ADDRESS ' 991. R.ALD Rf1CK RD SKIN, BERRY CREEK (� 500 6+ CONTRACTOR'S NAME OWNER TELEPHONE , CONTRACTOR'S MAILING ADDRESS - < Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS � „ , --' Penalty $ '}BUILDING ADDRESS , 991 ��. t"ja'�D ROCK Reit _BERRY-,gMEK � .' PERMIT FEE $ ' JS,OL/ ,..4 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i Solar or heat pump water heater 23.00 Water piping 15,00 1 LOT NO. SUBDIVISION'S NAME PARCEL MAP i Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 1 @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other! DEMOLISH BUMED HOUSE ` Describe Work: � PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service ( 'OV00A0 LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 0 3.50 FgT,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. ,,,License No. Classification @'% 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .w Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.I EA. ) "-: 5.00 Temporary Service " 23.00 Mobile Home Facilities] f' 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 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 VCertificate of Consent to Self -insure. 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 certify that I have read this application and state that the above information is correct. 1 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 consequence of the granting of this permit. X. , _ �>aie/A NN/ Sign ure or, -Applicant Owner ❑ Contractor ❑"Agent 9. An OSHA permit is required for excavations -over 5"0" deep and demolition or construction of structures over 3 stories in height 'Ily Mobile Home Installation Fee 71 $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 35.00 HAZ- D. FEES IMP RLOOD CDF PARCEL I PD HD IssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indica=ted above for whiefiRees have been paid. ` B , - /.A t..2 Date 11/1/94 i ✓ 11/1/555 'PERMIrtEXPIRESON � w �� -� � (Date! 16897$ fi .... Receipt No.,, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK�:�tN'SP�EC�T�OR�F,T GOLDENROD=APPLICANT .',.•Ii���.-..40 Mi' � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorgia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - If ASSESSOR PARCEL NUMBER 062-200-077 ZONING B LDING PERMIT OWNER BRYAN C =VINOS TELEPHONE 695-9314 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 991 BALD ROCK U . KKXX BERRY CREEK 500. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 991 BALD ROCK E.D . , BERRY CRELK PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCELMAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 9 Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 F� TYPE OF WORK New ❑ Addition 1:1Remodel ❑ Utilities ❑ Installation ElOther J1P Describe Work: DEN21OLISH BURNED HOUSE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvOR"I ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( a ACC. BLOS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 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. No. Classification 01111 -as 0 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST, MULTI -OUTLET NON-RES10. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1.00 Ex. Occu FIXEO APPLNS. OR p (OUTLETS IRESID.) 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): &his permit is for $100.00 (valuation) or less. 71have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a hCertificate of Consent to Self -insure. 1 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. x' Date �� "/ �y Sig ure 0Applicant Owner ❑ Contractor ❑ 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. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I CID PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove fo7wh' �ees have been paid. Date 11/1/94 11/1/95 PER MIT EXPIRE SON (Date) Receipt No. 168978 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT COUNTY ,OF BUTTE Department..of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until, this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) i� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following p9rson (firm) to provide the proposed construction: NameAddress City City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work. Name � ���-- Address City Phone Contractor's License No. 5- I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner r Date ko NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Demolition Permits Asbestos Notification Statement Date AP# _Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the' -notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation.” Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R 1 hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. gnature of Applicant 2/19/91 E ci'v-r�ce�.;:.....�y.,; r_, .,,,:._, _, ,,,,..;.., -..:. --.��. ;.�,iYa: y, ..�c..-u's;7` -�.: y"i37�'"Y.att:"j-'.':-�'SL!T; -rr •�'.�'vrt4 '� .&�.�, Vit'!; lk �. '`".iv..4saF�i«}k•. 062-200-077 PERMIT#96-2664 CORVINOS, Bryan 991 Bald Rock'Rd.,, Berry Creek Demo Garage `i in Ytr1Lx,1 v+1I;_. TNIV�'vT +' I .._V, -.fir-��,PQ'K^ �r -� "sF,.-.r.a7f�,....,�,_ ..-...T +-wsi .. .`* V COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVI. ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 JE MIT No. APPLICATION AND PERMIT " ASSESSOR PARCEL NUMBER 062-200-077 ZONING BUILDING PERMIT OWNER '\ BRYAN CORVINOS TELEPHONE 695--9314T SO. FT. OCC. BUILDING VALUATION 500 OWNER'S MAILING ADDRESS 991 BALD ROCK RD., BERRY CREEK CA 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER NONE UNIOVOWN Total Valuation Is Fling Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 991 BALD ROCK Rb. BERRY CREEK PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑' Describe Work: DEQ — Mobile Home JqG W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filin_q Fee 20.'00 Main Service ( 20.A oa LEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penal%of perjury that I am exempt from the Contractors License Law for the following reason:' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLOS- ) SD. 3.5Q FT. CNS. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) E SINGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO Ex. Occup. (oFIXEEDrs PLNS. R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. p X _ Date ��" �� "� 9.G Signat of Applicant–; K—owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction -y of structures over 3 stories in height. , Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL F.EE $ 35.00 - HAZ. I D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have "y C PERMITEXPIRESON applicable provisions Resolutions to do work been paid. 11 /21/96 Date 11/21/97 (Date) Receipt No. o'" ' WHITE-D.D.S.-B.D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, -fisliintgia 95965 -Telephone (916) -7541 _ ERMIT No. APPLICATION AND PERMIT-�- ASSESSOR PARCEL NUMBER 062-200-077 ZONING B LDING PERMIT OWNER ^ IN TELEPHONE 695-9314 SQ. FT. OCC. BUILDING VALUATION 500. OWNER'S MAILING ADDRESS 991 BALD ROCK U, XXXX BERRY CHEEK CONTRACTOR'S NAME 4 R OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDEWS MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPERMIT 991 BALD ROCK RID. , BERRY CREEK FEE $ 35 .00 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 PARCEI. MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 9 Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 7s -TT W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities Installation O �Qther �] _ Describe Work: D2i1OLISFI B' RN OUST U 1 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ' 800V OR LESS ) 23.00 200A OR LESS Main Service 200A TO IOOOA ) 46.00 ' NEW CONST. DWELLING OCCUP. OR AODNS. ' & ACC. OLDS. ) SO 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 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. cense No. Classification I on, will do f I, as the owner, or my employees with wages as their sole compensati 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 1 am exempt under Sec. Business and Professions Code for this reason NEW . MULTI -OUTLET -NON-RESHOT 1 BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES P ( ) 20 @ 1.00 SAL, .50 D OR Ex. Occup.( FIXETS (RES `OUTLETS RESI.1 EA. ) 5•Q� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Ij7••This permit is for $100.00 (valuation) or less. 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. h(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 20.000 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 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. . �Y Date - 1 SIF-908fure GrVApplicant Owner O Contractor O 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 $ Gcc CONST. TYPE TOTAL FEE $ 35.00 HA2. 1 0. FEES I IMP I FLOOD I COF PARCEL I Po I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for wh' as have been paid. Date 11/1/94 11/1/95 PERMITEXPIRESON (Deter Receipt No. 168x78 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON 7 County Center Drive - Orovi!le, Caly1'fornia 95965 - Telephone (916) 538-7 1 / E MIT NO. - APPLICATION AND PERMIT (( ASSESSOR PARCEL NUMBER 062-200-077 ZONING BUILDING PERMIT OWNER BRYAN CORVINOS TELEPHONE 695-9314 SO. FT. OCC. BUILDING VALUATION EST 500 OWNERS MAILING ADDRESS 991 BALD ROCK RD., BERRY CREEK CA 95916 CONTRACTORS NAME TELEPHONE OWNER CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 991 BALD ROCK RD., BERRY CREEK PERMITFEE $ 35 .00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE GARAGE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gassystem 1 - 5 outlets piping Y 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l Describe Work: DEMO - Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 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 NEW CONST. DWELLING OCCUP.SO. OR ACDNS. ( 8 ACC. BUDS. ) 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER SINGLE APPARATUSOUTLET US ) 8 Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL Q .e0 Ex. Occup. (ouT�s PLNS. OnRR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. ©© p X Date �� L/ %� 1------ Sig of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE I TOTAL FEE $ 35.00 HAZ I D. FEES I IMP I FLOOD I CDF PARCEL PO HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees hav Y Aaa PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 11/21/96 11/21/97 (Date) Receipt No.L WHITE-D.D.S.-B.D. C NARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at. your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. .,. 1 2. 3. 4. 5. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES] NO[ ]. I HAVE] HAVE NOT[ ] 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: CITY: 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: PROPERTY OWNE SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law -to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that 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. 0 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. 0 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 "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community 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. Sincli rel -� l�cc��,C.0 t--_ Micha4l C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby ,declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. �Ignature of Applicant May 1995 3.27 9 PRE -INSPECTION n /j 2i Ct - Ve e�tz / J OWNER: 7fAA 1 V 1 i� � S o DATE �l L� l �3 0,2 LOCATION: T _ - • RtSF}D 1� �C C ZONINGy cr4 �e.�C - —� PERMIT HISTORY: NONE C( AS FOLLOWS: TYPE OF OCCUPANCY +-I U U S e /tepfo y- Lqcol o FIELD - INFORMATION BUILDING USAGE: TENNANT: U OCCUPIED D HAS ELECTRIC �= HAS GAS = HAS SANITATION FACILITIES. Q HEATED -COOLED =1 PERSON CONTACTED, OTHER COMMENTS: ,__5�9e_e_ ACTION RECOMMENDED: 0 ISSUE Q HOLD FOR OTHER: s,.w2vR�- . Ar -9 -� 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDI 1 ION 7 County Center Drive - Oroville, California 95965 Telephone (916) 53& 41. PERMIT NO. APPLICATION`AND PERMIT 3I 3�+ ASSESSOR PARCEL NUMBER 062-200477 ZONING . BUILDING PERMIT OWNER BRYAM it ld TELEPHONE h SO, FT, OCC. BUILDING VALUATION ...Q OWNER'S MAILING ADDRESS `IA QQ T R= R Ile _ _ _ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSWRHX I. 991 BALD RD I PERMIT FEE $ DERi CREEK 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 STRUCTUREj TEMPKk4a Poly, +! SFO Duplex ElMobilehome ❑ Other� SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK i New O Addition ❑ Remodel O Utilities ❑ Installation O Other ❑ -. .. I Describe Work: TEMP POWER FOR WELL & FUTURE LX i DEV. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT.gO, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 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. Classification >7 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason I NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET Clfl. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ s.00 BAL. @ .50 FOXED APPS. OR Ex. Occup' (OW UTLETS (RESID.) EA. ) 5.00 Temporary Service • 23.00 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. O 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. I 1Q I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. otice 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 S 43.00 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 a� �,� .-� Date //'" �,/ "` Stg atu Applicant -Alia Owner O Contractor O Agent An OSHA permit is required for excavations over 5"O"�;deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TrPE TOTAL FEE $ 43.00 HAZ- I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUj! IM✓ 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. ^ By4)Date � 1 714T1 PERMIT EXPIRES ON l atel ^ Receipt No. 171):7 WHITE-D.D.S.-B.D. CANA Y-AtSES9OR PINK -INSPECTOR GOLDENROD -APPLICANT � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - Orovifie, California 95965 - Telephone (916) 538- 41 PERMIT NO. APPLICATION ANd PERMIT ASSESSOR PARCEL NUMBER 069-200-.077 ZONING ILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 991 RAID ROCK RD BERRY GREEK CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS WRIX 991 BALD ROCK RD PERMIT FEE $ BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Ea -ghs water heater or vent 15.00 USE OF STRUCTURE SF O Duplex ❑ Mobilehome ❑ Other TEMP POWER POLE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describework: TEMP POWER FOR WELL & FUTURE LOT DEV. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service"OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ADONS. ( 8 ACC. BLDS. ) 3.5C Sr.-_F0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Code and my license is in full force and effect. License No. Classification }9 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST, LTI-OUTLET NON.RESID. ( BRANMUCH CIRCUITS ) @7.50 POW ER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) B20@' S0 Professions Ex. Occu FIXEO AP Nr'OR p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 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. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. otice 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 $ 43.00 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. 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 unty in consequence of the granting of this permit. X �s----� Date J gnature of Applicant -�3 Owner ❑ Contractor ❑ 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. TYPE TOTAL FEE $ L HA2• D. FEES IMP I FLOOD I CDF PARCEL PD HD I U This This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON f re) provisions to do work paid. 7 ate 1 Receipt No. WHITE-D.D.S.-B.D. CANA Y -A SES R PINK -INSPECTOR GOLDENROD -APPLICANT -COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT$OF DEVELOPMENT SERVICES 1469 4u b '&Road, Chico, CA - (916) 891-2751 7.,County Center' Drive, Oroville, CA ` (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I JAI "S 33 O\WER' 4- PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 141 - Ld -64 Date/ _112�alel Inspector REV 1 COUNTY OF BUTTE Departri enfofbevelopr:ent Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to rovide the major labor and materials for construction of the proposed property improvement (yes or no) f E 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. 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: zol Property Owner- Social Security NalflSer Date _ // –i /i - y NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.