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062-340-007
A.13.-72-34-7 MR. & MRS. WALTER SILVERIA STIP n/s Ponderosa' Dr". 1:2001 off Bald Rock'g Rd., Bald Rock CONTR: Mountian Development, Oroville Permit 612-73B,P,E,M (new single family) r%W1 3"fig"7s LOT BLOCK SUBDIV. 062-340-007 PERMIT#95-1013 BARA, Nicolas V. TYPE OF PERMIT PERMIT NO. PLAN NO. DATE ISSU 85 Sand Creek Dr., BerryCree .._......:._,.....,....._.-.r._. .n...,....,,.._....._... _..... Cover over Fix Deck/SF * ��Jt PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY B -BUILDING P- PLUMBING T -TRAILER 02. 062-340-007'. `-; PERMIT#95-147A6 BARA, Nicolas-& mart'' 85 Sand Creek" Dr.,_Berry,.I'Creek" (� Ag Exempt* permit=Hay Stg;_ V 11 REMARKS I E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS W f' W D IL DESIGNATION SIG. O O m F Q LLD UOZ Oy,D J LL Z U J O W IiF Z W lY Z i Q 4 0 W F Z W F y-+ yj 0 W W N ZJa 0 W I W N Xa IJ W U O 0M U W J ly W U Q. Z SIG. FINAL • DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAME SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES $ APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT �- -'�`*ti • : •.. PER j_ A Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES P CE %A O ZONING OWNER/(// )', �cl— r PHONE NO. u` 14 t OWNE ORESS r x '• �. err n LOCA ION OF B DING /'\ � S` f jet .. � ` �,•� �� c- r\ r\ USE OF BUILDING Hav to ✓'tk. e , 4 . SIZE OF STRUCTURE X'' _ SO. FT. 7 TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING. Au ROOF CO RING FLOOR TYPE �© , ,� o e� EST�yIATED COST OFCONSTRU ION r u AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r — .- �`� FRONT 1h� SIDES /441" REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a�residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of,23 feet from a residence and a mobilehome, and 40 feet from a commercial building. � AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation _ USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirement in effect at that time and before occupancy. `• • *. , ;, Date Aad, /4 Signature of Owner t '� Permit Fee $60.00 The above described AG Building is exempt from a building per it. L- - ., • 171 PARCF,Y P.D ROOF G ISSU Receipt No. O ,V/ Manager Building Division. _ , By �� Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 4, C�, Y' NTYOFBUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION .e 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHE - T OWNER A. P. No.�, 2-" 3 t� 007 Proposed Building Use AA ,, I ; .., 61 Building Inspector )2A, Date At timeof p rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ........................ 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... ... req . Pre -Inspection uest 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... .33 34. When p6 issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone 57 and hold for pickup at Qat V i1= office. Deliver with inspector. Other Parcel Creation AcreageApplicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date ?By The following data must be submitted prior to permit issuance: (Circle new item not checked above). N 1. Index permit for above items No. 3 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by_ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i RESIDENTIAL 062-340-007 PERMIT#95-1013 BARA, Nicolas V. 85 Sand Creek Dr., Berry Creek Cover over Ex Deck/SF JOB FINALED (Date) 3 ( C �✓ Signature J=OK O = Not OK =Not Applicable ' = Not Ready 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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"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 MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date ECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s ng Requirements -Setbacks -Easements . Footin , Soils Size -Depth -Spacing -Connectors -Steel 3. De ; Griders and/or Joists -Decking -Bracing -Stairs -Rails W"Oood 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-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ,11. Ext.; Steps -Doors -Landings Dat Z Card B-1 Date Card B-1 Dat 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, Distances-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 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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = I Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's -------- 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ----- ----------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- - - - - ------- ---- - ------------------- Shower Pan: Test. First Floor -Tub Access ----------------------------- 20. Test Tub & Shower, Second Floor -Tub Access - 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ------------------------------------------ --------- 23.-Elec.-Receptacles Spacing -Lights & Switches at Doors -------------- - ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled --- ----------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----- -------------------------------------------------------------- 26. Equip. Ground made'up w/Mech. Fastners-Bond Gas & Water ------------ ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ------------------------------------------------------ ------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size i / ga Cu or At ------------------ ---------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------- 30. ---------------------- - - --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect -------------------- -------------- - ------------------------------ -------------- 31. Equip. Clearances-Panels-Motors-Mech. Equip. ------------------------------------------------- ----- 32. Clothes Closet Light -Shower Light -Spa Light -------------- - -- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card -B- 1 ------- ---- - --- -- ------------------------.- ------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support --------------- ................. 35. Vent Fan: Exhaust above insulation --------------------------------------------------------- --- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------------- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----- ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------- -- - -- - --- --- --------------------------------------- Date ------------------------------------- Date Card B-1 Date Card B-1 ----------------- - - - - - -- - -- ---------------------------- ---------- Date Card B -t Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - - -- ------------------------------------------------ - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------------------------------- -------------------- 41. Bearing Walls over Girders & Floor Nailing ------------------------------------------- ----------- 42. Draft Stop in Walls (rat proof) ----------------------- --------------------------- ----------------------- ------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings _ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- - - 55. Siding -Nailing Veneer ----------------------- --- 56. Stucco Mesh-Drip _Screed-Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts -------------------------- 59. Insulation -Walls -Ceilings ------------ ------------------ 60. Infiltration -Walls -Windows Date --------- Card B-1 Date Card B-1 --------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- ----- 62. Smoke Detector 63 Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------- - ------------ 67. Stairs -&-Rails 68. Fireplace or Stove: Clearances -Hearth ------------- - --------------------- 6J. Elec. Outlets at Wood Panel; Int. & Ext. - ----------------------------- 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -------------73.-A.C. Duct in Garage -Damper -------------------------- --- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------- 76. Elec. Receptacles in Garage: (G.F.1.)-Romex Protection ---------------------------------------------- 7;'.- Insulation -Foam -Looked in Attic C1 Yes ------ - ------------------------- 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------- - ----------- - -- - - 81. - ------------81. Stucco_Brown-Finish -- ---- 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - - -- - - -- - - -- - - ------------------ ------------------- 86. Ventilation Throughout House .. _ . - -------------------------- --------------------------- --- 87. Glass Protection --------- 88. - --------------- ------ 88. Corrections from Previous Inspections ----- --- -------------------------------------- --------------- -- 89. Gas Test -Meters Tagged: Gas -Electric ------ ---------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. 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: X X 0 'COU NTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIdN _. 7 County Center Drive - Oroville, 'California 95965 - Telephone (916) 538-754 PERMIT NO. + APPLICATION AND PERMIT _ D ASSESSOR PARCEL NUMBER 062-340-007 ZONING U BUILDING PERMIT OWNER NICOLAS V. BABA 919 TELEPHONE 589-4520 SO. FT. OCC. BUILDING VALUATI 162 2 106.00 OWNER'S MAILING ADDRESS PO BOX 22 BERRY CREEK 95916 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS CREEK85 SAND DR PERMITFEE $ 109.10 CREEK,BERRY 95916 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 SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK v New ❑ Addition D Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AWNING ENYXX OVER EXISTING DECK — Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service OOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( zooA 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 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: 1, as owner of the property, or my employees with wages astheir 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 OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FDRURES) BA2L Q 1.50 L .50 Ex. Occup. (OUTLETS(R ISE ISE D.�EA 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 complyw' hethe provisions. X�D ey?4ll- q j e i Sig ature of Applicant - 1¢ -Owner ❑ Contractor ❑ A An OSHA peFmit 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 coNsr. TYPE TOTAL FEE $ 109 .10 HAZ. I D. FEES IMP FLOOD CDF PARCEL Po HD ISSSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON J applicable provisions Resolutions to do work been paid. C ate 4 ZZ !J r(o (Date) Receipt No. 176086 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNT OF BUTTE, DEPARTMENTOF DEV , OPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET g Q r A. P. No. a-_JIA4.OD Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: nATF OF!`CNCfl AV 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. .Q 4. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items h been submitted . ............... . Plot plans, sets, signed by preparer of plans. ...�.t...................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 yr �Q by alifornia Engineer . ................. . Sanitation and plot plan app�6v�l ST 4 i tAO Health Department . ............ City of Chico plumbing permit........t...IJ .............................. . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: ; ...... . Contact Land Development about (A) Improvements (B) Drainage. ........... Dn 'vewa ermit (constructionroy a al re4 wired rior to occu anc ) y PP P P ' - -•. PreanspecGon reque�s Pre -inspection for ? required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification), ....:........ . Certificate of Workmans Compensation Insurance„ ..... . Owner-Builder.aVerification (Given to owner ,Mail to owner .......... . Recorded copy of Agricultural Acknowledgement Statement . .......... :....... Letter of signature ...................................... of recorded dedd of parcel creation and 60 right Copy of way to a public road. ..:. . Letter of intent on building use . .............. ............... . Mobilehome utility clearance.........................................�. Documentation of legal access . ............. ...................... Documentation of 50% subdivision developed or (A) Road improvements completed r. and (B) Parcel meets zoning area and frontage requirements . ............. Existing violations/expired permits ..:...................../....:_ ....... '. Plan check list. ........... ' �.� ToWhen u issue the permit, process as follows: Mail to owrber. Mail to contractor. elephone an hold for pickup at office. Deliver with inspector. Other Parcel Creation - 1 Acreage Applicant Date S Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by - I- Date ' Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ' O.B.-1 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. X 1. I personally plan to provide the major labor and materials for construction of the proposed, property improvement: YES[ ] NO[ ]. x 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. 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: X PROPERTY OWNER: �---� SOCIAL SECURITY NUMBER: 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.B.-1 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. Sincerel , Michael C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER �G(-D 2° P4 � v :64-(,7 7- (C� I �IK 113 v-,- � gr 1 Yy g = 9s `f' C ��ovlS J i za �c i -- V = �4 4-4+-r- z 3g- ko qy AV,# -t - 5e. 310 NOTE: All Materials & WOrlana-reship Shall Be tii AcCOr,da,P,0e with Recognized Good Practices and of a QL'a!iW Prescribed for the Specified use i--- the Uniform BulldinO, PlumbLi-ig & gewaawcaj @Ad Wao xmional atrical 0 0 Cr 0 0 00 0 $ sA 0 Rgs D os SNDV 5. BIL S pas ee OT 01F .5- 46 t 1 21 PERMIT NUMBER B 612-73B2P2E2M P E PERMIT EXPIRES OWNER Mr. & Mrs. Walter Silveria CONTR: Mountain Development,'Orovill.b LOCATION (A.P. &ZM= 62-34-7 n/s Ponderosa Dr. 12001 off Bald Rock Rd.', Bald Rock COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W" KS 7 County Center Drive i- Oro*ille, California 95965—� . Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentio d property for inspection purposes. XDate 5 oture of Permitee /or Agent Receipt No. l j P�/ � 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P ELIC WORKS 9BY01- Date �-i� - ?3 Building Permit Expires te_-7 BUILDING Owner S f SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. of Fireplace S_ Contractor./,Q Total Valuation 00 Mailing Address Lp� ^ Permit Fee Plan Checking Fee &/or Penalty I e hone No. Building Address s Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 d Each Trap 1.50 r7 !l0 Repair drainage or vent piping 1.50 Water piping 1.50 Lo !! // T ;— Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W.C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA P arking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00' Bldg.ars Recd Parcel Approval Plans Approval Permit Fee $ $ Q� NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE - PERMIT FILING FEE $3.00 oil Main service incl. 1 meter CIO Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 — Lig fixtures bal_ ai0 Re s., swit h s & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name stye Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. dis . or D.W. 1.00 2.001 Air conditioner or heat pump ^ titer pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.. 214 Classification - Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.$ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Heating •G Cooling _0 Ventilation Hood 2.00 , fp Permit Fee Uv 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 TOTAL PERMIT FEE $ s authorize representatives of the County of Butte to enter upon the above-mentio d property for inspection purposes. XDate 5 oture of Permitee /or Agent Receipt No. l j P�/ � 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P ELIC WORKS 9BY01- Date �-i� - ?3 Building Permit Expires te_-7 COUNTY OF BUTTE Departmento of P41 -1c Works BUILDING INSPECTION RECORD Zoning ._ Setback �� o�� Forms Foundation �' � w ` ; Piers &Girders �� ' 7� Fireplace, r Rgh. Plumbingy�" — / y -3 Bond Beam Lath & Plaster Rein. Steel Gas.Piping & Test U c-3 Found. Vents Framing _ Plmg. Topout Rough Elec.��� Wtr. Htr. Furnace 7c Kitchen Vent Firewall ^-- Garage Vents Sanitation & Water ELECTRIC GAS BUILDING �j Temporary 8-14-73 1i Temporary Cert. of Occup. Final Final Final 3 /5- REMARKS OR CORRECTIONS 'op 40 �15�s rJ 'op 40 r e. CN) JIN 11 ............... . ...... r e.