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062-200-103
I L—mml 11 062-200-103 . .03-1261' HILL, GLEM 781 BALD ROCK, BERRY C 16ALE f _1 M ADDITION TO SF a 0 `781 Bald Rock- 'Rd, Berry Creek.-' Cont: AMRE (vinyl siding/sf) 6-2-20-103 3-91B '8EWARD, Joanna,. 781 Bald Rock Rd, Berry Creek (repair de f ck/sf) L—mml 11 062-200-103 . .03-1261' HILL, GLEM 781 BALD ROCK, BERRY C 16ALE f _1 M ADDITION TO SF a NOTES RESIDENTIAL ----- s 062-200-103 03-1261 PERMIT NO. HILL;GLE9N --- - i 781 BALD ROCK, BERRY CREEK i ADDITION TO SF , I 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) .i Signature CHECKED BY i. r • •1 i _ f I 11 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) .i Signature CHECKED BY J=OK 0 = Not OK Nti`ReadyApplicable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 11. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. ./ P Nat. or / P' L "ft./ P LPG Braced Wall Panels 7. Well Clearance & Disconnect Date 8. Utility Clearance Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 7. 1. Zoning Requirements -Setbacks -Easements Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 2. Footings; Size -Spacing -Marriage Line 10. Plumb.; Cir. Test -Water Supply Test 3. Gas; MH Test -Demand -Valve -Connector 12. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date- Card B-1 Date Card B-1 Date 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/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UN FLOOR (Plans) OK except #'s O Z ' g -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.-/ Ftg. Depth 3. Ftg., Garage; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. P' s -Fire lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. YF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test . Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & D-Materi I -S port- s. d -Si s nc h&IrWiois - ents-Cri Xies u pp. earances ane s- rs-Mech. Equip. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Dated Q Card B-1 44fA Date Card B-1 Date.T /PLUMBING ermit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle ie -Water Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 2&.--Elec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 691�quip. Ground made up w/Mech Fasteners-Bbrd-&aTa-V*rter F29- Q-Appiiance ircut s in itchen & Conductor Size GFI 3Q._Subfeed-Miire ize g . u or AI-A.C. Wire Size/ /ga Cu or Al 34w_Raage-G4;elel-- Aga G AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 3z'-.--Sewiee-R sereartductnn-& Ground Main Disconnect u pp. earances ane s- rs-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support t3? --Tent Fan, Exhaust above insulation nsa a rain & Overflow, Size & Grade 39. Furnace V At "^^^^ -Comb. Ait-Return Air Vent 115 Outlet 40. rnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Sills Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound e ' g Walls over Girders & Floor Nailing DWtop in Walls (rat proof) 6t5-fireStops, Furred Ceilings -Stairs -Chasers -Tubs dvf1eaders & Beams -Size & Bearing Date FRAM!(Continued) H rs-Post Caps -Anchors -Connectors 409e -Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 ace ies pue-Fireplace Throat Clearance 5 c ccess; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Ht. & Dimensions Framing -RC Channel L54 --Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits L55-155_airs; Width -Headroom -Rise -Run -Landing -Fire Protection LST -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers . Sidinq-Nailinq Veneer A co es - np ed -Fd. Vents-Underflr. Access Area -Glass 63. Infiltratio'-Walls-Windows -- (_1 Date Card B-1 Date Card B-1 Da %g _*A/ Card B-1 Date Card B-1 Date . FINAL 1Blans) OK except #'s Vents -clearance -Comb, Air -Connector - In rage; Above Floor-Ducts-Mech. Protection . Bim Exiting G —'Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails it.goace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. i . ixt. & Appliance; Ground -Air -Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter _Z5_Gersge-F1fe Door; Swing -Landing -Closure f,.0uct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in ; Above Floor-Mech. Protection 7 b.; Elec. & Mech. Equip. Listed for Location eceptacles in Garage (F.F.I.)-Romex Protection ns "ion -Foam -Looked in Attic Gu ails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes O NoMalks O Yes 0 No/Planters O Yes 0 No _94__Stwecv-Brown=Finish _9 -A-C-, nit Disconnect, Electrical -Plumbing ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings BtlVa� ell, Disconnect, Electrical, Plumbing xter or Elec. Trim, G.F.I. Receptacle -Underground 8 entil 'on Throughout House a Protection Corrections from Previous Inspections 92. Ga 'st-Meters Tagged, Gas -Electric 9 . at Sewer Connected -C/O to Grade -HD Approval . n Compliance Certificate -Other Certificates - Address Posted .4E- Eire Sprinkler Date 7/�C/' 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: Insulation Certifies '....11r r%Tv(_ (WHYR' (S' L 6, N —ILEILi_ Ma-LDING IMATION li,I CiLE9_k Description of Installation BUILDING ROOF Brand Name Material -fiermal Resistance (R -Value) Thickness (inches) CEILING Brand Name OU/ Baa or Blanket Type 1/101 Thermal Resistance.(R-Value) ' U - -Mck ness (uuhes) Brand Name LD= Fill Tyve_ !b Minimum ddckn= inches Contractor's minimum installed weight/ft foot w acheive Thermal Resistance (R -Value) Manufacturer's installed weight per square EXTERIOR -WALL Brand Name Lf)Y✓GNC �,' `�`�� "�y Maucrial %="` L��� T' `''� (R -Value) Thiclvuess Cutches) r 3 ` Thermal Resistance (R- ) RAISED FLOOR pq c c J= G Brand Name 0 Material �NS �� J oaJ Thermal Resistance (R -Value) Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R-Vaiue) FOUNDATION WAIL gdName —Material _ — ,crural Resistance {R -Value) _ - �.--.----- 'ThIClaleSS (1rtChCs) , Declaration I hereby certify that the above insulation was installed re re sdential buildings contained n Title 2lding at the above location in 4 of the with the currant Building iw.*1efgY Efficiency Standards California Administrative Code. 6r6 ' N ?j Ij J LL' • (guilder) License Number ignature and Tide Date SuIYConcrIc r (huuluion Installer) Signature and Title License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POS'T'ED WITHIN THE BUILDING. JANUARY 1993 �.. .�'.+---•-,r -r+'s 1r."".r•s'1w.-r+4;:.,:�L.; i,_y�+'�y�,�..� i�h+-�.,.... �-w �.�r,.,y.,.�-. .n.�^ ..i-h+,.Y,. J.-+ y' y+� —COUNTY OF BUTTE *' r ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County enter Drive * Oroville, CA • (530) 538-7541 ER CORRECTION NOTICE . PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i i i y 1 r Dete ` Inspector •-1 %� REV 1042 ��.-(i�#YF�y-:iw.t-w�'F%r;+�pa+ht �.�„�.--�:.../ti's+'V.w3,s`:..�u�.YY _t...•"1�c. "r-..,r�.YYL1�+•.; . � � , . .rte- IL r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF; DEVELOPMENT SERVICES•. 411 Maln Street-• Chico, CA • (530) 891-2751 l . 7 County Center D"rive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ,4611 "-)_ 3-- / Z� R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please tact this office immediately. / ` /(/ 4, / r �� 72 x Z x. /� G2ivr c n zR c S 4- 4-5, Date / Z Inspector REV /,/92--/ ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 T. (Rev. 12/96) APPLICATION AND PERMIT l�--I ASSESSOR PARCEL NUMBER 062-200-MM03 ZONING BUILDING PERMIT OWNER HILL GLENN & AUDA TELEPHONE 589-2765 SO. Fr, OCC. BUILDING VALUATION . OWNER71 LING ADDRESS BALD ROCK RD. BERRY CREEK @5425 110.00 50 @13 650200 CONTRACTORS NAME OTT�7'YYL M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 27.300.00 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 271.50 Plan Checking Fee $ 176-90 BUILDINGADDRESS 781 BALD ROCK RD. BERRY Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 491.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New C3 Addition Y9 Remodel 11 Utilities 13 Installation ❑ Other ❑ Describe Work: SF ADDITION DINING ROOM.OFFICE,DECK _ COVER & NOT Gas i in stem 1 - 5 outlets 15.00 Buildin sewer 15.00 15.00 Mobile Home I S G W @20.00 PERMIT FEE S 78.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLDS. SO 3.5QFT: NEW CONST. MULTI.OUTLET NO RESID. 97.50 PowER APPARATUS 8 SINGLE 011ILET OI R. EX. OCCU OUTLET OR FIXTURES BAL @':50 Ex. Occup. GuTLEE' RE�41o.ORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 1' 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. % X G%L, /�/.Lt�c� _Date �/ '�� ©�3 _ Signature of Applicant - M 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation DUCT Q N 15,00115-00 PERMIT FEE S -39-00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 647.00 I HAZ. I D. FEES IMP I I=. I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte Co un Code and/or inWavewhichfeeshave B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ( 10 -Q3 6�1O W Date Receipt No. 376324 0647.00 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 ) 536-754 _ PERMT NO 12/gg� APPLICATION AND PERMIT ns -N'W % SsoRPARCEI NUMBER ��� _ �O _ /a ZO"1NO BUILDING PERMIT ER HE SQ. FT. OCC. BUILDING VALUATION C HERS IMtl.1MOA DIS / 6 UlWLCTOR'S 7ELEPNONE /'� TORS MAAJNO ADDRESS 2S20 89 NSTRUCTION LENDER Fireplace LENDERMAILINMAILINGc ADDRESS Total Valuatlon S v,co ApcNRECT OR ENGINEER ARCHITECT OR ENOWEERS MAILING ADDRESS suILDWGADDRESS r')0 I LpT NO. I SUBDIVISIONS NAME USEOFSTRUCTURE SF OK Duplex ❑ Mobiiehome ❑ Other sPECIFr TYPE OF WORK New ❑ Addition Remodel fel❑ U�- 0ili❑27,' Describe Work: 9-. Other ❑ NO. *Wrvnj,. ' r,J SRA saver; T 0 iNkm cav%f Filing Fee S 20.00 Permit Fee S 5 0 Plan Checking Fee S Main Service Energy Plan Checking Fee S NEIN CONST: ( DW .LM OCCUR S OR ADDNS. PERMIT FEE S , PLUMBING PERMIT @7.50 Fling Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15, Each gas water heater or vent 15.D0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 Ex. Occup. ( OUTLET OR WTURES PERMIT FEE S V r '- ELECTRICAL PERMIT Filing Fee 1 20.00 Main Service mov OR LESS 20DA OR LESS 23.00 Main Service 20" TO 1000A 46.00 NEIN CONST: ( DW .LM OCCUR SO I 3'ScFT. OR ADDNS. AA=. OLDS. NEW oNs �nN.ne�m MLR.TFOIrTLEr @7.50 Ex. Occup. ( OUTLET OR WTURES _S0 APPLNS Ex. Occup. ° .°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirina 23.00 I PERMIT FEE S/.�. I MECHANICAL PERMIT Filing Fee 1 20.00 Hood I 1 6.501 PERMIT FEL S S. Mobile Home Installation Fee $ Energy Inspection Fee $ oc cO ST. TYPE TOTAL FEE $ 7 �' NAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PO I - I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON n.el COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET % / C' : I OWNER / l iPrl /J u d iq, ASSESSOR PARCEL NUMBER -,0t0 Q/6"� 3o 6 Proposed Building Use- d(. rd il Counter Technician: Date: / 2 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. I Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. " Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) g4. Fees as shown on the attached Schedule of Fees Due Sheet.......................................Statement of Intent for Non -heated and A/C Buildings................................%...�,� ....... Sanitation and plot plan approval from the Environmental Health Dep rtin(lJf�uL. City of Chico Plumbing permit .................................... California Department of Forestry plan approval paid. Sent by: 3....��.s Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ................... VJ24. Worker's Compensation Carrier aid Policy Number ..............:............................ 25. Owner -Builder Verification (016iven to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, O.M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: C `" M Date: 1. Index permit application for the above items numbered l P an Check Letter, 2. Additional items required S Contractor, designer, owner, was advised of the above data by ' phone, ❑ mail, ❑ counter, by Date: S 6 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by d Z Date: Plans reviewed by: Date: Plans approved by://7- —Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: 7-11 Yellow: Building D' sion — E.H. USE GAILY Piot Pian Anachod floor Dien Attash d S©nz to ®.O. y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Clearance for, dwelling. Other Hold final for: Final clearance O -K_ for: NOTE: Environmental Heal 8/96 �,. /o3 D Private Well ,f!f 0— COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ /92. SCHOOL DISTRICT FEES 12 f011d 1(J ()Q t0k1 (paid at District Office) (Available after Plan Check)" 19&P ' 1'0 �LUd Brio �0-G3 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 89.0 paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE q -30-Q1 RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE `� -,fib J 02 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) O.R- 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 ® NO ❑ 2• I HAVE M 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: 4�;Lr,w/,/ � %i'f4(z- - ADDRESS: 7! 1 o f �� e R© D CITY: PHONE: a d cll - of 6 s 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: N )q' 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: PROPERTYOWNER:G�c, SOCIAL SECURITY NUMBER: DATE: 03 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 0 04a I . I OWNER BUILDER INFORMATION I 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: ♦ 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building 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. 4rely, l C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 3/_ 1 L -L o o V `1 School District A.P. Number Property Owner Property Location/Ac Subdivision BUTTE COUNTY SCHOOLS IMPA T FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction' City ©County U3 .................................................................................................................. 9 Residential Development �' Sq. Footage (GV L No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): ................................................................................................................... Commercial/Industrial 0 ' New Addftion Department (Floor Plans reviewed School District Personnel) District Identification No. 030 01 l (l e L141 I"b-il t'J I lli School District certifies that (Street Addres 1 (City) has complied with the requirements of Resolution No. represenfi-ng square feet. School District Representative Paid by Check # 1,1 fIXA JU)J Remarks: (State) o6_9v t Sq. Footage (Including Exterior Roofed Areas) 6.0 Date (Applicant) (Phone Number) (Zip Code) by payment of $ $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District 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 may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm i'tr •. i.:...,x" i.-`; 1.'s�., a.T;r..�- ,pr✓.wF�l:!T�m�r' `',v""".r•'j' -�,, ",°`.. .,�. ..,-�. ..,.gy.�y,;. _ ."'`'-".'='`': COUNTY OF..BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / — 01 n� APPLICATION AND PERMIT- T� ASSESSOR PARCEL NUMBER 062-200.-103 ZONING 1 BUILDING PERMIT C OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION 11*771 OWNER'S MAILING ADDRESS 7RI P-Ald Rock Road, Berry Creek 95916 410 CONTRACTOR'S NAME TELEPHONE 1371-6151 - �- CONTRA TOR'S MAILING ADDRESS 1400 Fin Rlyd., P Fireplace CONSTRUCTION L NDER UNKNOWN I Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS t Permit Fee $ 86.50 ARCHITECT OR LN ,INEEP. Nonpf LICENS � ;NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 781 'Rald Rack Road, Berry Crpek Permit fee $ 96.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater". ' 4; ' 20.00 LOT NO. SUBDIVISION NAME _ PARCEL M_ AP Water piping 5.00 P P g" Each qas water heater°or Mot 5.00 USE OF STRUCTURE +' SF (�(�;� Duplex ❑ Mobi lehome❑ Other - SPECIFY. Gas piping system 1 - outlets 5.00 r"Building. sewer� Mobile Home'JP-J`STJJ1b'JWF W "'10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ her [ Describe work: new aiding _ Permit -Fee $ Con actor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare penalty p y of perjury y (Check One): 1,'amahcensed under provisions of Chapt. 9, Div. 3 of the Business ~' .and Professions Code and my license is in full fo ce an8 effect. ~1 �icen* NO. y�� Z Classification. C' ❑ I,; as the owner, or my employees with wages as their solelcompen- 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 ontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professitns Code for this reason 1 NEW CONST. ( DWELLING OCCUP.hd\ OR ADDNS, ACC, BLDGS. II , �20sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRAN CIRC ITS 2.50 ea POWER APPARATUS 6 ( SINGLE OCTLET CIRA-L, - Ex. Occup(OUTLETS OR FIXTURESaSAL@eALo 30t FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): i ❑ The permit is for $100.00 (valuation) or less. I E]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 1 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood i 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County Ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in onsequence of the granting of this permit. �. n X ( 1 Date 5_14 - / Signature of Applica t — Owner ElContractor ElAgentF1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE — TOTAL FEE $ 96.50 HAz. I can I PARK SCHL I FLD I CDF I PAR PD i HD.ISS This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid. DIViR OF PUBLIeWORKS By - �;/�.� Date PERMIT EXPIRES Date 93643 Receipt No. WNIT!-D.P.W., YELLOW -ASSESSOR. PINK-IN9P!lTOR, GOLDENROD -APPLICANT OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this r';a matter, or need additional explanation, please contact this office immediately. 4 r IC/`GKcC_ y eZ 9 YY �f g r ` v .^r i� r " s A 1�! yam.: Date nspector :�, ' 'v COUNTY OF BUTTE k DEPARTMENT OF PUBLIC WORKS r; t. 196 Memorial Way, Chico — Phone: 891-2751 .. 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 s CORRECTION NOTICE' OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this r';a matter, or need additional explanation, please contact this office immediately. 4 r IC/`GKcC_ y eZ 9 YY �f g r ` v .^r i� r " s A 1�! yam.: Date nspector :�, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER " n69_ _ini ZONING BUILDING PERMIT el OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS R92kRoad, 'Rprry Creek 95916 CONTRACTOR'S NAME 1371-6151 TELEPHONE CONTRA TOR', MAILING ADDRESS ' Blvd FireDiace CONSTRUCTION L NDER UNKNOWN Total Valuation Is Flling Fee $ 10.00E LENDER'S MAILING ADDRESS Permit Fee $ 86-50 ARCHITECT OR LN ;INEEP, Nnnp LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 96 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ffk Duplex F] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities ❑ Installation❑ Other Describe work: new siding _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns -Code and my license is in full force and effect. License No. D Classification. C— 'T„�� ❑ 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 CONST. ( DWELLING oCCU1.III\ OR ACDNS. ACC, BLDGS. I '/z2sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES\\ 20®eoe .ALO 30 FIXED Ex. Occup, P(RESID )REAJ 2.00 -OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Z ❑ I have placed on file with the County of Butte Building Department j a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. J Xshall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation -- Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all li bilities, judgments, costs, and expenses which may in any way accrue . ag i t said County in ons qu ce of the granting of this permit. s_'� _q' X Date II Signature of Ap lits t — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over $'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 96.50 HAL I CUA PARK I SCHL I FLD CDF I PAR I PD ) HD• ISS This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. PU L WORKS B OI OF Date % PERMIT EXPIRES Date Receipt No. 93643 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. TOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATIGN AND PERMIT ASSESSOR PARCEL NUMBER 0 %.?-oZO —/63 ZONING - BUILDING PERMIT - OWNER J76 Iq lAjIUA TELEPHONE SO. FT. OCC.1 BUILDING VALUATION f OWNER'S MAILING ADDR77 ES r^, 9 1_20(-L-16-12 CONTRACTOR'S NA E (/ -. 1 ,i+ �� TEL "CJr' 3 / 6[l LCA CONTRACTOR -1 MAILING ADDRESS 00 ( ( 1 r S,- e Q ('S-�`]`i (^ Fireplace CONSTRUC TION LENDER _ �DDREss UNKNOWN Total Valuation $ Filing Fee $ ;0,00 LENDER'S MAILING Pe—ii: Fee $ D ARCHITECT OR i-.4.:1 EEOR�� LICE.•ISE NO. Plan Che�king Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS76/ n �•+ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 16 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each oas water heater or vent 5.00 4 USE OF STRUCTURE SF,L Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ ' Addition ❑ Remodel ❑/� �U�tiillities ❑�lnstallation❑ Other Describe work: / C W s » IIS t• Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ), p y p 1 y (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 CONST. DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. , �26Sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EO X. CCUpOUTLETS OR FIXTURES � 209800 20Leat Ex. Occup. OUTLETS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. I Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to.all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Signature of Applicant — Owner Contractor ❑ Agent ❑ I An OSHA permitis required for excavations over 5'0" deep and demolition or construct- ion of structures ov r 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE - TOTAL FEE $ HAL _ CUA I PARK scHl FLD coF I PAR Po I HD. IssuE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-A38r3S0R. PINK -INSPECTOR, GOLDENROD -APPLICANT Qe ork? Z �� 'COUNTY-OF-$UTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. ,., 7 County Center Drive - Orovlller California 95965 - Telephone: 916/536-7541 o .,, APPLICATION AND PERMIT AS ESSOR PARCEL NUMBER 062-20-0-103 ZONING U BUILDING PERMIT OWNER JOANNA SEt aD TELEPHONE SO. FT. OCC. BUILDING VALUATION T? -qt. 1200 OWNER'S MAILING ADDRESS 781 Bald Rock Rd.,03erry Creek CA 95916 CONTRACTOR'S NAME Owmer TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER None VNKNOWN Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS r Penalty $ BUI781LDBald Rock Rd. Berry Creek ! Permit tee ; 30.50 PLUMBING PERMIT Filing Fee 10.00 �. Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL' MAP i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE, SIX® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Repair Floor Surface for Decking_ } Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ` 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of uon P Y perjury Ir Y(check e. ) ❑ 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)Mobile I, as the owner, am exclusively contracting with licensed contract- (Sec. 7044) i ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCU1.6i) OR ACDNS. ACC. BLDGS. '/z¢sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES Ex. Occup. OUTLETS FIXED P(RESID )REA.) Temporary service MOO Home Facilities Misc. �yirinors. g Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 I Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judgmen s, costs, and expenses which may in any way accrue again f said County i onsequence of the granting of this permit. X lU Date �,� — �� Ignature of Applicant — Owner K Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _TOTAL - FEE $ 30.50 HAL CILIA I PARK I SCHL I FLD I CDF I PAR I PD I HD. ISSUE. This permit is hereby issued unser the applicable provi- sions o" the Butte County• Code and/or resolutions to do work 'nd sated above for which fees have been paid. DIVFOF PU LIt WORKS B Date 6/6/9 PERMIT EXPIRES Date 6/&92 22 Receipt No ,-.J WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 EIIiott.Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN -1 — PERMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,or need additional explanation, please contact this office immediately. 4e, > 0 1 .�. Q C - t v i�'L arm ��v /'c%a Av^ -•° .✓ M �! f °mak• .M •YY. { 1�+ L .••7 Date ��/ Inspector I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Orovllle, CalifZnla 95985 - Telephone: 918/538.7541 APPLICA'A AND PERMIT -ASSESSOR PARCEL NUMBER 062-20-0-103 ZONING U BUILDING PERMIT OWNER JOANNA SEWARD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 781 Bald Rock Rd., Berry Creek CA 95916 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 20,50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 781 Bald Rock Rd., Berry Creek Permit fee $ 30.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping' 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA] Duplex❑ Mobilehome❑ Other " SPECIFY Gas piping system 1 - 5 outlets 500 Building sewer 0 Mobile Home - S G W4-P0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other)M Describe work: Repair Floor Surface for Decking _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): :❑NON.RESID 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. 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) ❑, a (Sete owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.aI OR ACDNS. Acc. BLOGs. ) , h¢sgft NEW CONSTR. MU TI.OUTLET BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20050C eAL030 FIXED APLNSLicense Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with- the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 10 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, I dgmen s, costs, and expenses which may in any way accrue agai said County i onsequence of the granting of this permit. 6„ 6 G�` Date Ignature of Applicant — Owner Contractor ❑ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE — TOTAL FEE $ 30.50 HAz. CUA- PARK SCHL I FLD I coF I PAR I PO I HD• ISSUE; This permit is hereby issued unoer the applicable provi- sions of the Butte County -Code and/or resolutions to do work d ated above for which f s have been paid. DIR OF PU L WORKS e Date 6/6/9t PERMIT EXPIRES Date 6/6/92 _K Y4 9Receipt NO. WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oil Ile., alifornia 95965.- Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE OR ARCEL NUMBER 0 ^ ZONIgI G/ la- BUILDING PERMIT _ OWn) TELEPHONE S0. FT. OCC. BUILDING VALUATION � � acs OWNER 'S %L N AD _ /!77 O TR AC;IUK.1 NAME TELEPHONE ✓t P 1 _717_) CON'TRACTOR'S MAILING ADDRESS , Fireplace CUCTION LENDER - DN$1jR UNKNOWN Total Valuation $ Filing Fee $ 10.00 nOL LENDER'S MAILING ADDRESS Permit Fee $ , 5 AR M TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS $ Penalty BUILDING ADDRES I Permit fee $ CJ _ PLUMBING PERMIT FilingFee Fee 10.00 ^ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF E Duplex❑--MobilehomeF�• - Otherm...-��-. ^---—`-��--' SPECIFY Mobile Home I S I G J W I 0.00ea TYPE OF WORK r-1 New❑ Addition❑ emodel❑ Utiliti•--•-'�y ,installation❑ Other® Permit Fee $ Describe work: I^ Contractor 1/,—/D SU V, a" ca ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.d) OR ADDNS. ACC. BLDGS. 1 0/228gft I declare under penalty of perjury (check one):___ NEW CONSTR. MULTI -OUTLET 12.50ea ❑ - I am licensed under provisions of Chapt. 9, Div. 3 of the BUSines$ Ns ESI`D BRANCH CIRCUITS) POWER APPARATUS e (SINGLE and Professions Code and my license is in full force and effect. OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20e50C SALO 30t License No. Classification. FIXED APPLNS. OR EX. Occup. (REBID.) EA. 2.00 ❑ Ir as the owner, or my employees with wages as their sole compen- OUTLETS sation, will do the work, and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec'.—, Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE- , -I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply withY such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ _ is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ &o Sn I also agree to save, indemnify and keep harmless the County of Butte against IiAZ. CUA PARK sCHL FL6_F7i5F_F7 PD 1 HD. ISSU all liabilities, judgments, costs, and expenses which may in any way accrue I I against said County in consequence of the granting of this permit. This permit is hereby issued unser the applicable provi- X Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date Receipt No. WNITC-O.P.W.. YELLOW-ASaE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE -Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 l 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 aterials fo'r construction of the proposed property improvement (yes or no) 2. I (have/have not). //WE 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 Contractors 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 Contractors 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 Own Social Secu y Number Date Z -, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.