Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
062-610-019
•COUGH, WL IS �- CONTR: OWN i )++-1-1 ORO QU I Y HWY , BERRY CREE ,REPAIRS/SF 91-4074 GOUGH, WILLIS f CONTR: OWNER 1 #�F+" ORO QUINCY HWY ERR CREEK PORCH & RE_ROOF/SF 91-4150_ GOUGH, WILLI p CONTR. OW R �-' I v l O }}}}i- OR QUINCY HWY, BERRY CREE WELL E (o2-ion-loj , 92-4358B,P,E GOUGH, Willis �- 11Np1�]r1-+ Oro Quincy Hwy, Berry Creek addition/sf 93-2282 BPE VAN LOON, LARRY OLIVE HWY, OROVILLE REROOF & REPAIR SF 93-3930 GOUGH, WILLIS 1 0 ORO QUINCY HWY, BERRY CREEK IST RENEWAL BP #92-4358 062-610-019 PERMIT#95-0716 VAN LOON, Larry 111f-0 Oro Quincy Hwy, Berry Creek y Complete BP#92-458 062-610-019 PERMIT#96-1059 GOUGH, Willis 11140 Oro -Quincy Hwy,Berry Creek Cont; George Roofing Reroof/SF v - - 93-119( VAN LOON, LARRY. OROQUINCY, OROVILLE AGRICULTURAL EXEMPTION PERMIT - STORE HAY, TRACTORS i ADMINISTRATIVE PERMIT NO# 93-35 tt 62.-/.17200 at Oro Quincy Hwy. i Berry Creek : 6 Larry Paul_ Van Loon 9/13/ — •062=610-0 9- - REVISED Administrative Permit No Lary Paul Van Loon 9/21/93 �9 bldj�-LPM- OXCA 06-1331 BERRY CREEK CEMETARY, _ ORO QUINCY HWY, BERRY-CREFI Cont: MERCER FRASER C ELEC(TEMP POWER) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR P.ARCEL NUMBER X061-450-010 OWNER Willis Gough ZOflb4 U TELEPHONE 589-2551 BUILDING PERMIT SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 99 Cameron Dr., Berry Creek 95916 0 R 16 200.00 520 M 9,360.00 CONTRACTOR'S NAME Owner TELEPHONE 72 C 936.00 CONTRACTOR'S MAILING ADDRESS Fireplace IF V I CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 26 496.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15,00 Permit Fee $ 223.00 Plan Checking Fee $ 111.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS - Permit fee $ 369.5011111 Oro c Hwy., Berry Creek PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [:J Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Add Bedroom/Garage/Porch/Upgrade Main S Permit Fee $ 22.00 r�rontractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.501 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (Check One): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business/POWER and Professions Code and my license Is In full force and effect. License No. Classification 1, 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1o00A1 37.50 p NEW CONST. / DWELLING OCCUP.d\ V 3.6ysq.ft. 28.70 OR ADDNS. ( ACC. BLDGO II X NEW CONSTR ULT LOUT LET NON.RESID BRANCH CIRCUITS) @ 5.00 APPARATUS e1 \SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 IP 76rj FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 62.20 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Wood Heat Only Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, a expenses which may in any way accrue against o n in co equ of th ranting of this permit. p /� X Date 12 " AF -OV- _ ❑ Contractor ❑ Agent An OSHA q 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 S Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL EE $ 493.70 HAz 0FEES IMP FLo CDF PARCEL PO ISS This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do y work indicated above for which fees have been paid. I ECTOR OF PUBLIC WORKS BY Date/2'-2p -9 PE IT EXPIRES Date Receipt No. 130139 WHITE-D.P.W., YELLOW-AS8[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ti L� �� '� .yam ..''r.^' t'^;.r.-,'...'r`.i=..fai�;4+.w•a.�•w�..r-n.+�.r�,r".�'Hrj„"�"`�!'-....,r..yrrr COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION Z 7 COUNTY CENTER DRIVE - OROVILLE, C,ALIFORNIA95965 -TELEPHONE (916) 538-7541 , PERMIT APPLICATION DATASHEET SHEET OWNER Z/ /L -G/ Proposed Building Use A; At time of permit application, I was advised %,Ading Inspector Date 71 N; ting data must be�submitted prior to permit processing and/or issuance: DATE RECEIVED BY k 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 --Rood elevation letter (100 year flbod) byCalifornia Engineer . ................ . 14. Sanitation and plot plan approval 22&y _ Health Department . ............ 4%AE K.CT- 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). .. •Pre Inspe'. . . f�q� --- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. rtificate of Workmans Compensation Insurance. ......... r` 23: Owner -Builder Verification (Given to owner , Mail to owner t-^"' �/`t�� 2_ 24' Recorded copy of Agricultural Acknowledgement Statement: Letter of signature authorization. . z 9z 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 6f'50% subdivision developed or (A) Road improvements completed t and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list. .:.......................... . 33. ' 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other I -le i/ Parcel Creation Acreage ` Applicant - Date /Z—/Q �Z- Copy of Haz-Mat form sent Health Dept. Fire Dept. r Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional itbms required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ pho Counte _ ate( Contractor, designer, owner, was advised of above required data by _ phone _ ma' Count by _ Date Plans checked by Date , Plans approved by Date 1214 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ??t E.H. LISE ONLY • - ✓� "� • flat flan Aunchcd �^ Hoor I'L•m Attach • y p TO:—.-I Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ®� C -L 66((C# Owner Location AN Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile hon-�e. Other '4-0j/ Clearance �5C=JCr inal clearance O.K. for: Environmental Health Specialist 8/92 A�. ? z ---- Date AZ116717 �I® Roo ��ne40 , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 APPLICATION AND,PERMIT PERMIT NO. ASSESS PPAR EL NU�^B R / —�f -_ / 3 OWNER ALL./ 6 ZONING •-0 TELEPHONE _ BUILDING PERMIT SQ. FT. OCC. BUILDING VAATION LU r�ssl OW AILING ADDRESS OGS �% CON R C?R*S NAM TELEPHONE -� U 3 V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ ' 02 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING Ess D" `,K -U j�C Permit fee $ AVL PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 D Each qas water heater or vent 7.00 ' USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECI FY . Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Additionjk4 Remodel❑��Alitie -❑ instal tion❑ Other ❑ Describe work: /1, _ Permit Fee $ D Contractor ELECTRICAL PERMIT Filing Fee 1115.00 Main service 200AORLESS Main service 200A TO 1000AI 18.50 11 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 L! 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.A) DDNS. 1 OR AACC. BLDGS. 3.Sd sq.tt. I P �� NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20@ 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI0.) EA.) I 3.00 Temporary service 15.00 I Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. taws 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 i MECHANICAL PERMIT Filing Fee 15.00 Heating Qq� sz '1 Cooling Hood 6.50 Ventilation Permit F $ Contr for 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 w y a crue against said County in consequence of the granting of this permit. Date 7� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demZ—T on or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE I TOTAL FEE S3 (� � MAz OFEES IMP FLOOD CDF PARC PD HDSSUE 11 This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No. 5"2/-314By "MITE•D.P.W„ YELLOW -ASSESSOR. PINx-INSPECTOR. GOLDENROD -APPLICANT Butte County Department of Development Services NOTES 7 County Center Drive, Oroville, CA 95965 (530) 538-7601—..b0ecounty.peVdds • °j' G—. RESIDENTIAL APN: Owner. I BERRY CREEK CEMETARY, EK_ORO QUINCY HWY, BERRY CRE Site Address: i MERCER FRASER CO I q -Cont:ELEC(TEMP POWER)-.-- Contractor. ' Type of Permit: I j t 6 f t E 1 SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE i DATE JOB FINALED: SIGNATURE: ruerven ov BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. /� /05'709 License Class: r1 License Number: Date: g l in Contractor. /" Pr, cr' Fr,'S e E- Co. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IV I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: S r -- cc,� Policy #: (-.)qC> -0000aoa ❑ 1 certify that In the performance of the work for which this permit Is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with I ose provisions. Date: Applicant: WARNING: Failure td secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees., CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP061331 Issued Date: 06/05/2006 APN: 062-610-019-000 1 K Site Address: oro (�i.tin�(-�� ���/l� �-1"(' Lri'� , Map Index: Description: TEMP POWER FOR CONST. TRAILER Owner: MERCER-FRASER CO PO BOX 1006 EUREKA, CA 95502 (707)443-6371 Applicant: MERCER-FRASER CO 77 WEST 2ND ST. EUREKA CA 95501 P.O. BOX 1006 (707) 443-6371 (707) 443-0277 FAX Contractor: MERCER FRASER COMPANY P.O. BOX 1006 EUREKA CA 95502 (7107) 443-6371 License #: 105709 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: JJ 0G &C.E;s643 G- -06 s hereby issued under the applicable provisions of the Butte County Code and/or to do work Indigated above for which fees have been paid. PERMIT EXPIRES Date: G 5-0 G O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P:A. notification fors. 1 hereby certify that I have -read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and. stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form cr docume t of Butte County. I hereby authorize reprgaeht\atiives of Butte County to enter upon the above mentioned properly for inspection purposes. Print Name: �"`QC\`e- _ Signature: Date :/& ❑ Owner ❑ Contractor for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 +=OK 0 - Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE I Lj PERMANENT FOUNDATION SOFT -SET –----[)ATE 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Lactn-Clrncs-Grad 'Am -Concrete 6 Yard Gas; Loctn-Test Wrap Nat or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fail -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers - DECK S -C OV E R S -C A R PO R T S'G A R A G•E S 1 ZoningSetbacks-Easements 2 Figs; SoilsSz-Dpth.Spacing-CnnctrsSteel 3 Decks, Girders/Jolsts-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; P6sts-Beams4Vtrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice4Dewi-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4fts-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis yo 4k DATE IP O O LS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining. 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lttng; 15 votts-GFI 6 Elec.Encisrs; Conduit Entries-Terminals4lsted . 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w%5' Crcltng Egp-Pool Ightg Boxes-Encisrs-pnlboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test —I 1 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide _ c ass rya Pool Drawing 0 - Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR I DATE PLUMBING i coning-SetnacKs-Easements-moon-3lope 2 Ftg Main; Soils-Eiec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; SollsSteel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Biockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test. 12. Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupportdnsultn 14 GirdersSlits-Anchr Bolts—Joists—Vnts-Cripples 15 Ace & Vntltn 16 Insulation o'er 0�s' 90 DATE JFAAMING 17 Sills Proper Materlals & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders .& fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, :Fiirred CeilingsStairs-Chasers-Tubs 22 Headers & BeatnsSi &' Bearing' 23 Hangers-Posf Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Tles or Type A Flue=Frplc Throat Clmc 26 Attic Acc; Sz &-Rinx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall _&, Opngs 30 Ext Doors -One X.Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Piastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz , [_1 CU or ❑AL AC Wire Sz ga [—ICU or 0 A 48 Range Circ ga Q CU or QAL Oven Circ ga Q CU or QAL Insulated Neutral 0Yes No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nall Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas.Piping e 4141 # 9' # up►it 1MECHANICAL 61 AC Ducts Insulin & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm If Furnace In attic o`er It ?I oa' #y' oe FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Ace -Spa 71 GFI Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handralis 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct In Garage -Damper. 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters Q Yes ONO 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Ihspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /� License �Cllaa s : A ,jLiice/nse Number: 10 �7 9 Date: / ' 0 Contractor: /' ' erc cr — Ff-�$ e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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. NO I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �q �/�p Policy #: V—OOC)oao0_ ❑ 1 certify that In the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. —" PERMIT NO. BP061331 Issued Date: 06/05/2006 APN: 062-610-019-000 Site Address: Oro Quincy Owl i BErni UeeK Map Index: Description: TEMP POWER FOR CONST. TRAILER Owner: MERCER-FRASER CO PO BOX 1006 EUREKA, CA 95502 (707)443-6371 Applicant: MERCER-FRASER CO 77 WEST 2ND ST. EUREKA CA 95501 P.O.BOX 1006 (707) 443-6371 (707) 443-0277 FAX Contractor: MERCER FRASER COMPANY P.O. BOX 1006 EUREKA CA 95502 (7107) 443-6371 License #: 105709 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: 55, OD &c.-4155 625 G-5-06 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol ti, ns to do work Indi ated above for which fees have been paid. /' r_ performance of the work for which this permit is issued (Sec 3097 Civ.) Date: -,5-o UJ Name: By' Address: PERMIT EXPIRES ON: — 5 (Daf�� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19627.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P:A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and. state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form cr docume t of Butte County. I hereby authorize representatives of Butte County ytto enter upon the above mentioned property for inspection purposes. Print Name: �' `0.0\` e / 1 __ Signature: Date, :. ❑ Owner ❑ Contractor for Owner ❑ Agent for Contractor ts. c. tsuuomg t-ermn u i-io-uq pg , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER ^^ d_ ZONING 2 BUILDING PERMIT OW, 9�� /l I's�` �" s�f SQ. FT. OCC. BUILDING VALUATION 00 0, O_ OWNER'S MAILING ADDRESS 9 CA HH ('N.e ek R65 W — 10 .9o, —' CONTRACTOR'S NAME TELEPHONE G eco k vA J .1cri33- L3 93 CONTRACTOR'SJMAIUNG ADDRESS 449 /0 A .1 h co( Ov, 11 e Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 0. o Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 330 — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Dno L Ko- C �e �!/li PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:%% Mobile Home JSJ GI W1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. N License Class C — �� Lic. No. �J �2� OWN WILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.4� ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR sO. OR ADONS. ( & ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLETUS ) & SINGLE CIR. Ex. Occup. (OUTLET OR FDRURES) 20 @ 1.00 BAL 50 Ex. Occup. (OUTLETSFIXED (RESD.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g 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//'.comp nsation i urance carrier and p Icy number are: Carrier 60477/ T41e& r/Sg MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number a O — 00 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with those provisions. p, X Date p Signature of Applicant - ❑ Ownegf ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPEp TOTAL FEE $ -',3, HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 2 Date6//q l PERMITEXPIRESON ( e) Receipt No. ! WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Dear: Property Owner: An application for a`building permit has been submitted -in your,name •Iisting:yqurself 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 wades that you pian to subcoatra;:L, 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 5300 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. Sincerely, Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This 0wner-Builder Information is rcquired by Section 19330 of the California Health and Safety Codc. OVER II CO�UIL�DI OF DEPT TTF* ft 3,0 11 % 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[ j�] HAVE NOT[ ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4., : Iplan 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. O:5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: " SOCIAL SECURITY NUMBER: DATE.....-_. NNOTE: I ,This owner -Builder Verification is r6quired 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 =40711,14AM V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75_41 PERMIT NO. APPLICATION AND PERMIT r oil ,�,— ASSESSOR PARCEL NUMBER 062-610-019 ZONING BUILDING PERMIT OWNER LARRY VAN LOON TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 33201 BARBER RD AGUA DULCE, CA 91350 EST 16,100.00 CONTRACTOR'S NAME OWNER ; V�/1V d TELEPHONE CONTRACTOR'S MAILING ADDRESS •+ �+s; Fireplace r CONSTRUCTION LENDER „ 1% ` UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 180.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 11111 ORO QUINCY HWY PERMIT FEE $ 200.00 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFU Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheryd Describework: COMPLETE WORK STARTED UNDER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 B.P.#92-4558 Main Service ( 11111" LESS 200AORLESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.5C gO, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification )4 I, as the owner, or my employees with wages as their sole compensation,, will do the work, and the structure is not intended or offered for sale. (Sec'1044) '" ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup. ( FIXED APPWS. OR ) OUTLETS IRESID.1 EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon above mentioned property for inspection purposes. I also a e to save, indemnify and keep harmless the County of Butte against all liabititi dgments osts, and expenses hich may in any way accrue against said Cou in consequ n e of the g nting his permit. Date - nature o plicant Owner Cont ctor ❑ Agent An OSH permit is required for excavations over 5"0" deep and demolition or construc n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD TDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By �� Date �- 2n PERMIT EXPIRES ON U W lDetel Receipt No. %J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT „��.• �;;Suiteoun y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 536-7541 FAX: (916) 538-2140 WILLIS GOUGH NOVEMBER 2, 1994 99 CAMERON DR. BERRY CREEK,CA 95916 RE: Building Permit # 93-3930 Expiration Date: 12/29/94 A.P. # 062-610-019 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit. falls into the category marked below: [ ) Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ X) No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLF office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 f,c_h BUTTE COUNTY DEVELOPMENT SERVICES 7 County Center Drive Oroville, CA. 95965-3397 (916) 538-7601 Date: July 14, 1993 To: COUNTY BUILDING DIVISION DEPARTMENT C BUILDI G pEPTTTe JUS 15 1993 RE: Administrative Permit Review for: Larry- Paul Van, Loon AP#062-610-019 --- J _ Enclosed is preliminary data our office has received or generated concerning the following project: Administrative Permit to allow a Senior Citizen Dwellingno o larger than 1200 sq. ft. for 1 or 2 persons age 62 or over. 29.31 acres. On the Southeast side of Oro-Oumcv Hwv. annrox. 1/2 mile north of Star Rd. Berry Creek Area. Unclassified zoning. The above project has been determined to be categorically exempt form environmental review under the provisions of the California Environmental Quality Act. This department is reviewing the application for compliance with applicable County and State requirements, or restrictions that your department may have for this project. Please respond within 10 days of the above date. If no response is received within the 10 days, it shall be assumed that there are no concerns or requirements from your department. We appreciate any assistance you can provide. Sincerely, Larry Painter Planning Technician Comments: l� W �J L' Z 6L W evil Cl) v'1 r. 09 1993 ►�. APPLICATION FOR ADMINISTRATIVE PERM) : R u BUTTE COUNTY PLANNING DEPARTMENT �7R Applicant's name /..� I` T. �1 is _ / f � (� /V Phone No. Mailingaddress _ �Gl �T�vr-E:�/(f �,� 1 �i� /L5(;�,_Z/f Applicant's interest in property (owner, renter, lesee, etc.) �yNIZ- Owner's name (ifotherthan ttheapplicant) N Ownersaddress 1430q P6�G /�l i /l� ��'i vxcew`�� /SSS Contact person forthe project (if other thanthe applicant) WILL -1 j C 0U6—f-�- Requesteduse 12AVI %L �(� c (,(J�=}�.I{ PjmP�10Zl /✓C ?7 �;_ Property location and street address (givedirectionsifinarural area) l I oAfz . r�'i( AIC,4 4VU"V �y Assessors parcel no. / � Presentzoning U Currentuseofthepropertq 69i =A-7? D A 9� GQC/ 19 Lc-, b F Type of sewage disposal /method— '57EP l )C --jA9— C8AjGP—E79 Bzl+?Jll� Watersource W Proximityofwaterforfirefighting purposes (hydrants, ponds, etc.) %I-( "-r4 7qOUS6S- T Buildingconslruclion(squarefootageandtypeofconstruc6on) A. Existing buildings B. Proposed Buildings V,4 GA-/% x! Describe adjacent land uses: North LYS A-77 0 r/fi L ]L -O PL FT' j 4 R1/4RL East r South West r. N <e -V I hereby declare under penalty of perjury that I have read and understand the are true, complete, and correct to the best of my knowledge. Date Applicants signatu Date Property owners�e nate Verify: A. P. Numbers / Proof of agency 20 copies of plot plan Date received Application taken by Ownership Zoning Location description and that the foregoing statements Project description $ 5Tro '.0 o Receipt No. 13 4 r2— E CO. DUMP AP- &Zdw 19) - FY f��C1Si'i NG t -Rouse PRopo st�,D SE,a►oa. • GJTt tk� 5 Pp't� C J . PM 8S 5 G. 4rC 1&0 3 a c� N Q v Q cs 5.0 p "'PM75- 2 6.: Eatte Count, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .7 COUNTY CENTER DRIVE. - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 -FAX: (916) 538-2140 November 18, 1993 = Willis Gough RE: Building Permit # 92-4358 99 Cameron Dr. Expiration'Date 12-29-93 Berry Creek, CA 95916 A.P. # 061-450-010 Dear Mr. Gough: With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: - Permit work started, but not completed. Permit may be renewed for z the original building permit fee (plus a $W.00 filing fee). The renewal permit will extend the building permit for an additional year .from the original expiration_ date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. 01 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt attention concerning this matter. Yours very -truly, - n JFG:hla J.F. Glander cc: Building Inspector Manager, Building Inspection. Attachments: Renewal Application ® Owner -Builder Information FXJ Owner -Builder Verification - Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 E Liott R(1/872-6307 11 13 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION ANNPERMIT q3 - ASSESSOR PARCEL NUMBER 061-450-010 ZONING U BUILDING PERMIT OWNER WILLIS GOUGH TELEPHONE 589-2551--- SO- FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 99 CAMERON DR., BERRY CREEK CA 95916 TST—REISIPSWAI, CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee$ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 87LDING ADDRESS III ORO QUINCY WY, BERRY CREEK PERMIT FEE $ 131.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF) Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation ❑ Other)] Describework: IST RENEWAL OF #92-4358 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS ) 2ODA OR LESS 23.00 Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) g0, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and p P Professions Code and my license is in full force and effect. License No. Classification XI, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. I BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. l I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ /J ,C.GL/.dam Date Signature of Applicant - ❑ Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 131.50 HAZ. D. FEES IMP FIOOD COF PARCEL PD ND Issu This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work y indica d above for which fe have been paid. ,` DI EC OF UBLIC WORKS BY 4 Date 1400_- 93 PERMIT EXPIRES ON 12/29/94 /Date! Receipt No. /s .� %�A � � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,:s.2=ov Ville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing. your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) &S 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 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 f 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 Owner Social Security Number / Date 12-"0- 4'-? 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. BUILDING, DIVISION COUNTY OF BUTTE - DEPARTWEI�VT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 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. ASSEO$ R ARC L10 lo — , 50-0 ZONING U OWNEr © KI PHONE,— S�S' OWN D R Va �flC'0/1 7/s, LOCATION O B DING 6 USEUI r G07-0 (!)�S SIZE OF STRUCTU 3O /� Q- ' X k2a ' /800SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL—&— CONCRETE OTHER (Specify) E OF SI I / ROOF COVERING FLOOR 0 CSC-- I o O ESTIMATE9 COST OF CONSTRUCTION bWr� '7/ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: Vis- i N r r J FRONT SIDES 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 AG Building definition. If any change in use or occupancy of the bu obtain any necessary permits, inspections, and approvals to comp occupancy. Date Signature of Owne Permit Fee - V69 -e& S99-00 The above described AG Bu Receipt No. IY6( 3J^ Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ;taM above and the purposed use confirms with the i to is made, I will contact the Building Division and witfi the�remenryts in effemat that time and before ing is exempt from a building permit. FL I PARC I P. ROOF�G ISSUff Date 17 6 y 9 J _.�•'�..,.r-'�`r:'t'.: "✓r.^v�l•-�--•-._.w-.�..��,--�.�„d•,r•v'...wt."►�`�`.'*�"♦�'�`"�i�l�^"tin"'...^'v�..rr.'r.."w✓t•^,..w-....,--,,,-..rye-.,,,,_,r...�. -� .�.-� r i.'� _r .�" COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATASHEET ^rte �00 1-1 C�_ . P No. Building Inspector 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 . ...................... A. 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. ....................... . 4- 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). . . 20. Pre -inspection for required. .. _u., � � (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 you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. I De i0r with inspector. Other Parcel Creation / Acreage Applicant w'` Date 7 3 ,D� Copy of Haz-Mat form sent Health Dept. Fire Dept. AiLlbollution 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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Q/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 • APPLICA`TION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 061-450-010 ZONING U BUILDING PERMIT OWNER Larry Van Loon TELEPHONE SQ. FT. OCC. BUILDING VALUATION 6 @ Rolled 600.00 OWNER'S MAILING ADDRESS 24307 Magic Mtn. Pkw #101 Valencia 91355 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 600.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 16.50 ARCHITECT OR ENGINEER - None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 31.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 2 1 5-00i 0.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 1 15.00 15-00 Mobile Home I S I G JW 615.00 TYPE OF WORK New J Addition,_1 Remodel❑ Utilities❑ Installation[ Other ] Describe work: Reroof, , Repair electric & Plbg. Permit Fee $ 47.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 Main service 20GATO IOOOAI CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING C OR ADDNS. ( ACC. SLOGSO.CUP.tk 16 _37.50 3.6Q sq.ft. O 21.00 NEW CONSTR ULTI.OUTLLT' NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 120@76 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESI0.) EA,/ 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $54.50 - 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood # 6.50 Ventilation L 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, on the above-mentioned property for inspection purposes. I also agr to save, ind fy and k p harmle a County of Butte against all Iiabi ie judgme S, C St S, xpe e w ch may In any way accrue again County i con q n o the g of this perm .t.�- Date ant - owner 9 ❑ Contractor ❑ Agent ❑ nDture of A#P,1-11��er An OSHA perrequired for excavations over 5'0" deep and demolition or construct- ion of structur 3 stories in height.D Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $133.00 HAZ DFEES IMP FLOOD CDF PARCEL PD D ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees O UBLIC BY PERMIT EXPIRES Da / applicable provi- resolutions to do have been paid. WORKS D e l� % Receipt No. 143635 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -'^. rim^-�r�"-S%.��.,;,y.ri'-�►:=..'�i.i.:{'""�-c�i'*�.�u•Al►.-:ti.�.�,i���Y"�`��+�.!'w#'�'�n�:G'r=,�1�; y:�...- �...%F,#�Y"ylY.'�.Y-Y'•�'.. `':^`--4' � " .. .r. r - ' COUNTY OF BUTTE -DEPARTMENT OF DEVFLOPM ENT SERVICES - BUILDING DIVISION 7COUNTY CENTER DRIVE -OROUILLE,CALIFORNIA95965- TELEPHONE (916)538-7541 /f%) PERMIT APPLICATION DATA SHEET OWNER blo 14,11 A. N Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY 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 VO 17. 18. Plot plan and business license appro ,al from City of Biggs/Gridley. . Planning approval for (A) Use: (B) Parking: Contact Land Development about '(A) Improvements Drainage. (B) ....... 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for required. .. o s�°� �a insv� -(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 you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at of fice. Deliver with inspector. Other Parcel Creation�3 Acreage Applicantj�-�� Date Copy of Haz-Mat form sent Health Dept. Fire DeplK_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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916 '538-7541 APPLICATION ANO PERMIT PERMIT NO. ASSESOR PARCEL NUMBERZONING ©61 -Ys0 -01 BUILDING PERMIT OWNER arIn v V6 1�o a nled TELEPHONE SQ. FT. OC . BUILDING VALUATION oWr� sMAIL c ADD w �/O / I �1 Jt 6U P CONkEt ACTOR' CN AME T�PHO � CONTRACTOR'S MAILING ADORESS Fireplace CONST UCTIOOONN�LENDER .A nLENDER'S UNKNOWN Total Valuation $ Filing Fee 15,00 MAILING ADDRESS Permit Fee $ – ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A CHIT T OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGA D Ess O y^ Permit fee $ S PLUMBING PERMIT Filing Fee 15.00 u VAC Each Trap 5.00 20,077 Solar or heat pump water heater 20.00 LOT NO. .. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 Q e Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF� Duplex❑ Mobilehome❑ Other Mobile Home I S I G I W 615.00 'SPECIFY TYPE OF WORK New:'—: Addition Remodelr Utiliti ❑ Installations Oth r Permit Fee $ Describe work: f Contractor q�—ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 % Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification NEW CONST. ( DWELLING 0 C C U P OR ACDNS. ACC. BLDGS. .6� NEW CONSTR. ULTI.OUTLET NON-RESIO BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 6Q sq.ft. @ 5.00 20 @ 76d 17I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OU LETS P(RESID )LNS REA.) I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 9 15.00 15.00 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ 5 S — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ 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 of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. 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 alsWagrto e, indemnify and keep harm) ss the County of Butte against lmen , osts, expens which may in any way accrue i con eq t the ting of this perm' . Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE 2 TOTAL FEE $all HAz DFEES IMP FL000 COF PARCEL PDagai X Date This permit is hereby issued under the applicable provi- Signature pp ❑ Contractor ❑ Agent An OSHA permi 's required For excavations over 5'0" deep and demolition or construct- ion of structure ver 3 stories in height. sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. as BY PERMIT EXPIRES Date Date WHITE-D.P.W.. YELLOW-AeerSSOR. PINK-INSPCCTOR. GOLDCNROD-APPLICANT C I COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide the major labor and materials for construction of the proposed property improvement (yes or no) 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 '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' Lioense 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 XJj A - Signed: Property Owner SociaV<q eecuxg_tty Number Date / 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. 4'4 .. �.� u tte county 2 s - Department of Development Services PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 September 21, 1993 COB N o► Of: ��E Larry Paul Van Loon SEP 2 3 W3 99 Cameron Drive Berry Creek, CA 95916 Re: Revised Administrative Permit, AP No. 062-610-019 Dear Mr. Van Loon: Enclosed is your Revised validated Administrative Permit No. 93-35 to allow a senior citizen dwelling no larger than 1200 square feet for 1 or 2 persons 62 years or older on property zoned "U" located at 11111 Oro Quincy Highway, Berry Creek. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Enclosed is the affidavit form you are required to fill out, sign and notarize, and return it to the Planning Department. The Butte County Code provides that your affidavit is valid for a term of one year and must be renewed annually if the use is to continue. Should you have any questions regarding this matter, please contact this office. Sincere L Farrel Ir of Development Services WF:bd Enclosure cc: Land Development Division Building Division--- Environmental ivision---Environmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT September 13, 1993 93-35 (Revised) PERMIT NO. 062-610-019 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Larry Paul Van Loon is hereby granted an Administrative Permit in accordance with application filed: July 9, 1993 to allow a detached Senior Citizen dwelling unit on a 29.31 acre parcel zoned "U" located at 11111 Oro Quincy Highway, Berry Creek. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of .the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives,,successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area", meaning the interior habitable floor space area of- a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The Senior Citizen Dwelling unit shall be a conventionally constructed building or a mobile home that complies with the National Manufactured Housing Construction and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a mobile home, as defined in Section 24-21.28, may be used. Travel trailers and recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit. 8. New dwelling must meet the fire safe regulations of PRC 4290. 9. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 10. The requirements of all concerned governmental agencies having jurisdiction by law, including, but not limited to the issuance of appropriate permits, shall be met. 11. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior tose or occupancy, nor does it waive any other requirements. 17 Develobment Services CC: Land Development Divis Building Division Health Department Department of Forestry 59 A C E CO. DUMP rn 101 A F ou lW- V - AP- et -&I -1q LIS 15 4e OtAc 00 Ldk-t `'fne�T1.�� 5.0 59 A C E CO. DUMP rn 101 A F ou lW- V - AP- et -&I -1q LIS 15 4e OtAc 00 o �� 5.0 p PM 75.11 6: m ......may:....,:. f �. ., .. uttecounty .: 'fir Y ....... . . . ,.Vdi- Department of Development Services PLANNING DEPARTMENT 7 COUNTY* CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 September 13, 1993 c®U b �I�oryQ F�v� Larry Paul Van Loon 99 Cameron Drive �K3 Berry Creek, CA 95916 Re: Administrative Permit, AP No. 862 610 QC#I-Aj4j0 —010 Dear Mr. Van Loon: Enclosed is your validated Administrative Permit No. 93-35 to allow a senior citizen dwelling no larger than 1200 square feet for 1 or 2 persons 62 years or older on property zoned "U" located at 11111 Oro Quincy Highway, Berry Creek. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Enclosed is the affidavit form you are required to fill out, sign and notarize, and return it to the Planning Department. The Butte County Code provides that your affidavit is valid for a term of one year and must be renewed annually if the use is to continue. Should you have any questions regarding this matter, please contact this office. Sincerely, Willia Farrel Direc r of Development Services F,f=1-7�l Enclosure cc: Land Development Division Building Division-- Environmental ivisionEnvironmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT September 13, 1993 93-35 PERMIT NO. 062-610-019 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Larry Paul Van Loon is hereby granted an Administrative Permit in accordance with application filed: July 9, 1993 to allow a detached Senior Citizen dwelling unit on a 29.31 acre parcel zoned "U" located at 11111 Oro Quincy Highway, Berry Creek. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area01, meaning the interior habitable floor space area of a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The Senior Citizen Dwelling unit shall be a conventionally constructed building or a mobile home that complies with the National Manufactured Housing Construction and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a mobile home, as defined in Section 24-21.28, may be used. Travel trailers and recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit. 8. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 9. The requirements of all concerned governmental agencies having jurisdiction by law, including, but not limited to the issuance of appropriate permits, shall be met. 10. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy, nor does it waive any other requirements. / Diredtol�of Development Services CC: Land Development Division Building Division Health Department Department of Forestry n' P P R OTE 0 DEVELOPMEWNPA DATE 11 7E, 1� - _,V. PERMIT . f . ,' • I •I'.• �'�- MVV ±1 ?,.,6,,AC r E CO. DUMP . GJC 1 Si�i N G t-1vus� PROPO stoo S�rt�oa. �rri tvJ 5 P.P're C J 0 PM 8.9 - 5G �4rcl 30� • 3 co NONWO C', � 5.0C\l In O z MT5-. 63 C 4 . _ .Y'%'••.. Address ❑ 196 Memorial Way Reply to Chico, California 95926 Telephone: 916/891-2727 October 8. 1991 Willis Gough 99 Cameron Drive Berry Creek, CA 95916 ffirtte count DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH County Center Drive ❑ 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone: 916/538-7281 Telephone: 916/872-6308 RE: Housing Inspection Requirements at 11111 Oro -Quincy Highway, Berry Creek - AP# 061-045-010 Dear Mr. Gough: This letter will confirm 'the inspection of the above listed parcel on October 3, 1991, with David Purvis of the Butte County Building Department and myself. The following conditions were noted which require your attention in order that your dwelling on this parcel receive approval for an electrical service panel. 1. A potable water supply must be provided. 2. All "gray water" disposal lines must be connected directly to the "black water" disposal line. 3. All plumbing fixtures must be properly vented and trapped. 4. Protect romex where exposed at electrical service panel. 5. Install a minimum of 100 amp electrical service. 6. Provide a driven ground rod for new electrical service. 7. Stabilize the building pier system with diagonal bracing. 8. Provide a minimum of six inches of wood to earth clearance. 9. Provide code compliant steps and landings at both exits. The second cabin on the parcel is satisfactory as long as it is not used as a dwelling. Upgrading of this cabin would also be required before it could be used as a dwelling. Willis Gough October 8, 1991 Page 2 All repairs, reconstruction, replacement or patching shall be completed to the extent necessary to result in a finished product. Check with the Butte County Building Department regarding permits. If you have any questions regarding this letter, please contact me at the above listed address or telephone number weekdays between 8:00 - 10:00 A.M. regarding the water supply or the Building Department at 7 County Center Drive, Oroville, telephone number 538-7541 for the remaining items. V r truly yours, Doug o 1, E.H.S. Division of Environmental Health DF/mlf c- : Building Department�� FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY S= PACKAGE "A" (Additions). Owner Climate Zone Permit Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions, to dwellings include room additions, converting garages.and patios to living areas, house moves that add footage and attic conversions, and any.space that is existing non -conditioned space that'is converted to conditioned space: Remodeling of existing conditioned space is not included.: APPLIES TO .NEW AREA. CEILING WALL - FLOOR - SLAB R_ GLAZING UI-(. SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coeffici (Dual) ZONE 16' R-38 R=19 R-19 R-7 U-.65 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH -AN ADDITION SHALL BE INSTALLED fAf S BACK OF THIS SHEET. AUE 6011 OTHER BUILDING DEPARTMENT 12/85 *1 HEATING. VENTILATING, AIR CONDITIONLYG SYSTEM (A) Heating Q Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and modek number) ACOP Btu/hr (heating capacity At 47'.7) Q .. Active Solar-• - . type (liquid or air) Collectr brand and model number solar fraction collector area collector - oriantacion collector -silt raced y -intercept rated slope Q Other •- (describe) (B) Coo Liag Q Electric Air Conditioner _ (brand and model number) (seasonal fiE8) Btu/hr (cooling capacity ac 9507) Q Electric Heac Pump EER Btu/hr (cooling capacity at 95°F) Q Other (describe) Q Q Q *2 DCMSTIC WATER SYSTEM (A) Gaa Only Gallons (brand and model number) (tank size) Haat Pump w/Electric Backup (brand and model number) Callous (tank size) Active Solar (collector brand and modal number) (raced y-incarcepc) (raced slope) (solar fraction) 2 ft (backup heacar type, brand and model number) (collector area) (collector oriancacion) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Wincar design cemperacura ', elevation '. heating load BTU elevation factor a heating load - maximum outlet capacity gas furnace BTU Cooling: Summit design temperature •, cooling load BTU *2 Submit T.I.P.S.E. chart -or ocher approved syecam (form #5) co document sizing of solar pace Ls. ® DESIM COMPLIANCE STATEMERT: The above building design meets the requirements of Title 24, Part 2, Chapcar 2-53 of the California A"iniscracioc Cod . S OES OR APPLICA= COUNTY OF BUTTE,- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 issuipg 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 im rovement(1ye or no) V £S 2. Ihav /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 I IIC6`ft*-r-dctors License No. 4. I plan to.'provide portions of this work, but -I'have hired the following person to coordinate, supervise, nd rov'de the major work: Name Address z City -Phone - --Con ractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number - Date 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 ue the permit. qy _� � � 9n. RESIDENTIAL '-- 91-4074 061-45-0-010 GOUGH, WILLIS CONTR: OWNER 11111 ORO QUINCY HWY, BERRY CREEK' PORCH & REROOF/SF JOB FINALE Signature .1 =10K O = Not OK Not Applicable Not Ready MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete MISCELLANEOUS Date DEC S, COVERS, CARPORTS, GARAGES, (Plans)OK except N's Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel ecs; Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh R of; Shthg-Roofing Ext.; Steps -Doors -Landings Date ','Z71Cel and B - Date Card B-1 Date �/ 'Card B-1 Date Card B-1 Date POOLS (Plans) OK except p'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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 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 DEC S, COVERS, CARPORTS, GARAGES, (Plans)OK except N's Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel ecs; Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh R of; Shthg-Roofing Ext.; Steps -Doors -Landings Date ','Z71Cel and B - Date Card B-1 Date �/ 'Card B-1 Date Card B-1 Date POOLS (Plans) OK except p'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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL = Date UNDERFLOOR (Plans) OK except ft'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 -Bloc kouts-Wra pped 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 a'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 19. 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 ft'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 i r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------ ----- 30. Service -Riser Conductors & Ground -Main Disconnect ------- ------ -------------- - -------------------------------- 31. Equi p_Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------- -------------------------------------------------- 33. Smoke Detector - -------------------------------------------------------------------------------- Date ---------------------------------------------- Date Card B-1 Date Card B-1 ------------- - - - ------ - -- - - - ---- -- -- -------------------- --------------- -- --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ------ 34.--A.-C.- Ducts Insulation & -S-up-port ------------------------------------------------- --------- 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 Card B-1 Date Card B-1 - ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a'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 Ingle & Duplex) 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 SO. Garage Fire Protection Framing 51 Property Line Firewall & Openings 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits ____ 53 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 4's 61.- Ext. Steps -Door & Sidelight Protection -Landings --------------------- -- 62. Smoke Detector ------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------- ---------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. ----------- 67. Stairs & Rails _ 68. Fireplace or Stove: Clearances -Hearth -------------- -------------- --- ---------------- 69. 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.I.)-Romex Protection 77 Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails Rails & Deck -Const ruction- 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. Stucco Brown -Finish ------------------------- 82 A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - --------------------------- ___' ---- P - 83. Vents Above Roof; Plb9 APp liance-Fire lace. -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 Corrections from Previous Inspections --- ------- ------- ----- Gas Test -Meters Tagged; Gas -Electric ------.. ----------- -------- ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----------------- -------------------- --- ---- --- -- DCard B-1 Date Card B-1 --ate------------------------------------------ -- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COiJNTY„OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 061-450-010 ZONING U BUILDING PERMIT OWNER WILLIS GOUGH TELEPHONE 589-2551 SO. FT. OCC. BUILDING VALUATION 128 C 1 664 OWNER'S MAILING ADDRESS 99 CAMERON DRIVE BERRY CREEK 95916 4 @ 60 240 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is 1,904 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 37.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADS5 1111 ORO UINCY HWY BERRY CREEK 95916 Permit fee $ 72.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent .00 USE OF STRUCTURE SF X❑ Duplex❑ Mobilehome❑ Other Gas piping system 1 - 5 outlets .00 4@ j15. Building sewer .00SPECIFY Mobile Home S G W 00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: COV PORCH & REROOF _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ISI IY/jr I, as the owner, Or my employees with wages as their SOIe 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 Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUP.tk\ OR ADDNS. \ ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTRMULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76r1 FAPPLNS, OR EX. Occup. OUTLETS (RESID.) EA.� I 3•00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 ± I 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. 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of a granting of this permit. X11—.21 — Date Signature of Applicant — Owner Contractor El Agent ❑ 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 $ O 3 e IPE TOTAL FEE $ 72.50 HA2 DFEES IMP I FLOOD JCDF I PARCEL PD I U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees I ECT OF PUBLIC By P I EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date//.L ,f Receipt No. 103318 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ' t COUNTY OF' BUTTE - DEPARTMENT OF PUB-L1IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CALEFOFfNI/k 9b9t3�S' T .—HONE. 916/538-7541 PERMITAOUCATAON-DATA SHEET s Permit No. OWNERI t D u A. P. o. 06 1/50-0/0 Proposed Building Use Building Inspector Date ///.' / 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ....... ....... . 8. Engineered truss,details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School Dist ict fees paid .............. 14. Sanitation approval from Orou t lf(L--' Health Department 15. City of Chico plumbing permit..... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. W hen you Issue the permit, process as follows: Mall to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applican Date r'a1 Copy of Hdz-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_maiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter,4y_ date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder e re TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance G_C)u c Owner-�- 1 Plan Approved for: Hold final for.- Final or:Final clearance O.K. for: Clara_ NOTE *** Sanitarian Ir L&atio�n- AP# Le y Cie %- / Sewage Disp salWater Su _. UP1Y Water Supply / Wa�er Supply _ Other Date COUNTY OF BUTTE - DEPAPTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ADS ea R --PARCE 45- D/0 ZONING BUILDING PERMIT OW E - R 173 T LE(/PHONE 9 -ass S0. FT. OCC. BUILDING VALUATION a OW ER'S MAIL G ADDRESS q Ia WL2Y^o r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation is I q0 Filing Fee $ 15,00 LENDER'SiM AI LING ADDRESS Permit Fee S 3 ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR / .,y fX a Permit fee _ $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition K Remodel ❑ Utili s ❑ )Installation❑ Other Describe work: (20 V PO P0— VV ¢ �flrpD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A DOR LESS 18.50 Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License :Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.R OR ACDNS. ( ACC. BLDGS. 3.6Qsq.ft. NEW CONR.SI BRANCH NON.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS RESID IFIXED APPLNS. REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. ❑ 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor Agent ❑ ❑ An OSHA ion of structuresover3gstoriesoin height.Ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee 5 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE M5 Q HAz 1 0FEES I IMP FLOOD COF PARCEL PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Cwc� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. COL-PrIn-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) yirzts 2. I (have/heve—net) for the proposed work. signed an application for a building permit 3. I have contracted with the following person (firm) to provide the proposed construction: Name _ Address City Phone Contractors License No. 4. J plan to provide portions of thip 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 Owner Social Security Number��^ Date 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. F This set of plans and speciSoatlons MMbe rept ou the job at all times. and it is unlamw to ; make any obanges or alterations on same witbad Q Agitten Permission from Me Deyar6ment o� pl�Dlio U � wunq of ftt". g'8 tbi& of 8 f. ftm tU 9�a pro rty lines and a set _ o Of S ft. i�om the road cen rllne shall be clear of s tures or equipment exa�r fo'r 21t. save overha4 NtM'E: All Materials Fp Workm Accordance with Reco p Shall Be In 9 8nized od Practices aad of a Quality Prescribed for the peciSed use .� w _ •` in the Unitbrin Building, Plum Meo Codes and the National.El hanioal At..l Code. � y 7,.� f wool. C o r �O BUILDING DEPARTMENI APPROVED iF4&4,ROOF.COVER1NG REixWIeD. t _ �g6J V Eb1 Pf w1ktA co a + r 1 1 i { i 1 -- � � _ .i_ r i. (_... ( 1. _. {. ' t � � ` .. , �_ t f • � I t ` f t ( + � r � t t t .t t (. _ . } r. k F- - t ' i 1 - � - f � ! � � + � 1 /� � 1.�c.•rr i� 1 1Xy1 :.¢c • ! t � ... L.. +_ . -� 1- �� r _ , t��., ,. � j - r � - ` - i ` i i5T-S�?- PdST 19"� �� � � , '_ t ; 1 ! ► ' (' ' E t t , , fj�f� ' t.1N P ; �' < QIRIIIoL�; Y'�. ��,i••V o ,� ITT � k !Kr .f� ' ip APPROV COAR 'E� :a -:+tt ii.i��±• - •PbOi�:��PPe�T` �4t�s� �1�t�1 f.�� �_ - _... 1..,.. k. •- .i.-.-t_�_. i . c_. - t....__L _,...�.l-.+-_�...r .:.�-� ,.. .. _i....:..�.. art - — _- - t_ - - L_.�._� _��i._.. + VVV ♦�,�.• � :. .. .._ s .. _nu•_•, �.`!'•-^•nin71:.+. i`+` M1':i�. ,� .r �. -.-. -, -. � "tri L::'.;a .• rt �.`�i�a. •:na1•M yY.,•: »'y �:+„J, a'�.r•�+'n i `t��' i 11 � •' i : jCv HA'��.tlRT�r..T .t e a s :s!^t' �'jo'�Af"'1r �" sJ4'7Si 7. ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND, PERMIT ASSESSORARCEL NUM zorva BUILDING PERMIT OWNER WILLIS COUGH T�LJ7� SO. FT. OCC. BUILDING VALUATION FM 200.M OWNER'S MAWC AD,p,B DRIVE BERRY CP= CONTRACTOR'SNAME Llry!•ti i:J[ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ OO Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A 1111. ORO QUINCY IVY BERRY CREEK Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 5.00 20*Q0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF []J Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.0015„0() Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ ;Other LJ Describe work: REPAIRS PIT HOUSING INSPEM It 1 -_411 MISC. RLECTRIC, NEW SERVICE, MISC. MLMING, Permit Fee $ 57.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 m +IL Alh7 ' MTAIR liLINGS Main service 600V OR LESS 18.50 18.50 200A OR LESS Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): i ❑ 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 licenseO contract- ors. (Sec. 7044) j ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.N) 3.64sq.ft. OR ACDNS. 1 ACC. BLDGS. NEW CONST R.ULTOUTLET NON-RESID BRANCC H CIRC ITS @ 5•00 /POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2O 76 46 Ex. Occup. OUED K EA.I 3.00 TLETS RESID I ) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 • 9 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 1 15.00 Heating Coolin g rHood 6.50 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co nty, ionwquence ol the granting of this permit. Date /&I? Sr' �� Signature of Applicant — Own - Contractor ❑ Agent F1 Date An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion ion of structures ver 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 135.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- of the Butte -County Code and/or resolutions to do work indicat�� a oyebr which fees have been paid. DIR&TOR OF PUBLIC WORKS By .(�� — Date PEF�MIT EXPIRES Date Receipt No. 101416 135.50 WHITE-D.P.W.. •ELL'OW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT Cu ,�,%.. _ � ..� �.. �o , �Q Cot - qS-0 - o to _^ �C.o_v.��.�e code G_0 .1.�.aN�.S_ 3s �G.•,. , OL4 ___.____ � �t7.P3 �Dt._..-�ia.�►�a._ 44C.►_��..�'145__.._..�0.�•,'�ecT�e�„ 7�. ��� ._...._.r_.__._._...___ �T is INpW r,v p l` � r n _,;�"'+.. l`ur'-*ye�''•4:..�ir.:..-r.-sYj eyd'a t..:`." �' 'i.. �^",st"s 3.G'.�,f.-.,,�4.�'T .."�1 a COUNTY OF BUTTE .' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 ;S 747 Elliott Road, Paradise — Phone: 872-6307 c .1 CORRECTION NOTICE OWNER— PERMIT NO. „A 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 mat or need additional explanation, please contact this office immediately. i v c a 1 r si �MM Tm AAr J_ _ A S M-1 MIASMA MOM J • 11111 '-unI A� t Date / Inspector // l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 061-450-010 ZO G $_ / BUILDING PERMIT J/ OWNER WILLIS GOUGH T,jgcP�� SQ. FT. OCC. BUILDING VALUATION EST 200.00 OWNER'S MAILING ADDRESS 99 CAMERON DRIVE BERRY CREEK CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 200.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15.06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11111 ORO QUINCY HWY BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 5.00 20.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ® Describe work: REPAIRS PER HOUSING INSPECTION, / •-1 MISC. ELECTRIC, NEW SERVICE, MISC. PLUMBING, Permit Fee $ 57.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VOR LESS ORLESS 18.50 18.50 Main service 200A TO 1Oo0A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N\ 3.6asq.ft. OR ADONS. ACG. BLOGS. // NEW CONSTR ULTI-OUTLET NO N•RESID BRANCH CIRCU ITS ` 5.00 PO ER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 ED APPNS Ex. Occup. OUTLETS ((RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 48,50 — 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cc nty, in con quence the granting of this permit. X� Date /0.1 5�- 9J Signature of Applicant — Own(&eC Contractor ❑ Agent ❑ 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 S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE $ HAz I DFEES I IMP FLOOD I COF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic a o r which fees have been paid. 1 OF PUBLIC WORKS By Date /D�Q PE IT EXPIRES Date 149-1 5F7�— Receipt No. 101416 135.50 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL 'NUMBER ((J _1/5 ZONING `�, BUILDING PERMIT OWNER /-Z55 S O U TELEP HONE % SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRESS 20 <Z>-O� CONTRACTOR'S NAME O U1 V,e TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is O i�5- n-. LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 0o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS /� / J/ Alr/ Permit fee $ so PLUMBING PERMIT FilingFee 15.00 Each Trap s.001 a ,00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ),00 Each qas water heater or vent ft7. USE OF STRUCTURE SF:.115.T, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 15.00 ,0 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other g Describe work: hf'-0Ai(-S C 051IJCn, _T_y,3.5 AA(_sG �Ff ,<-i- �lt�'CwlS I(fiCP iM1 SG a0( M�oifucn Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 /'� i to 1(7 CA A J A% Main service 60SLESS 0A OR LESS 18.50 C NTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. .Jo. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&) OR ADONS. 1 ACC. BLDGS. I 3.6d sq.ft. NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 PO ER APPARATUS & SINGLEOUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 76d A FIXED APLNS.License Ex. Occup. OUT ETS P(RE— ) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 1506 Permit Fee $ 2(g.57 6 — 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. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerElContractor E]Agent ❑ An OSHA ion of structures toverr/39storiesoinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ HA2 0FEESIMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.®/���/�SU WNITC-O.►.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROO•APPL I CANT COUNTY OF BUTTE - nepartment of Public Works 7 County Center Drive, Osoville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 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 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 Owner Social Security Number Date W 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. ,.6e 3 - a,c rte,,-tt - , % -X �A Ca [ - qs-o - o to C45 west s!Ae �:V=E3y_-NO'E' E1Ga.t�:���_►.I_�TIG,s,_��O.NwCGTtc� T� �� `� /- -- ^ �- (,(! ,..,o-� /•� ss.c r{ 0.0.0. t.� tt r r n — IrT !S NO W _! N O�-a-- ( � l of - �•: z�.,S_kcc.I.�a-,w�_.w /�����v�Uec.�f.c.:5_G✓v-c_c.� —JO (A AIL C45 west s!Ae �:V=E3y_-NO'E' E1Ga.t�:���_►.I_�TIG,s,_��O.NwCGTtc� T� �� `� /- -- ^ �- (,(! ,..,o-� /•� ss.c r{ 0.0.0. t.� tt r r n — IrT !S NO W _! N O�-a-- ( � l of � J - _ ti _ � 4 1 r ` . , __--__ - 1. �♦ 1� �R f �r � �, 1 � _ 1. '_ _ � 'F f r. J, a � a... � t �'` `' �t .. a — •• :T '. , �_ '_ _ i A 1 r 1 �� i 1 _ � i S- .� a. C „i � a. - � r. J, a � a... � t �'` `' �t .. a — •• :T '. , �_ '_ _ i A 1 .,r� _ .TK.r r ._ ; y,.,,,1.,w�.--...•7t,�,.^-.TiCWM(:.:rl?Mrr "g.�.- -�.„ r.-�1y,;'?-'�fr,7'*r"'1--`��►1+c7"4^3l"^�tf•*+�..d"y.►.•..:. .061-45-0-.010 91-4150 GOUGH, WILLIS CONTR: OWNER 11111 ORO QUINCY HWY, BERRY CREE WELL ELEC gt . f �r FICE COSY _ • r OF Address W! ate_ �y Gate E�EGT Ft1G .. Meter BY i " •. '�4 � �;�.: full. I Z"/ I `,�`� / ' ' t , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet California 05085 • Telephone. 010/838.7541 APPLICATION AND PERMIT A85911110141 P-AIRC96 NUMBER 61-45-10 & 062-610.019 —TWN ZONIN-W-- U BUILDING PERMIT WILLIS GWGA 589-2551 SO. FT. OCC. BUILDING VALUATION WN M DD 99 CAMERON DRIVE BERRY CREEK 95916 CONTRA NAM OWNER TEL HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU CTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITEC�jT�O}R�7 ENGINEER 1\ Vl� � LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11111 ORO QUINCY WY BERRY CRM Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 ( Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEf L MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE I SF Duplex❑ Mobilehome❑ Other SPECIFY ! tt Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home FS—FG W 615.00 TYPE OF WORK New F7 Addition El Remodel❑ Utilities Installation❑ Other ❑ Describe work: PAYFZMC FOR WELL REPLACES SPRING _ WATER SUPPLY Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 I Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) EJ 1, 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.& OR ACDNS. ACC. BLCGS. 3.6asq.ft. NEW CONSTR. ULT' -OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS e\ SINGLE OUTLET C'R. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.� I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring • g 15.00 PRE !NSP 2000 • 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. (� I shall not employ any person in any manner so as to become subject Y� 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 FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 conse uence of the granting of this permit. r Date /Z %�`7r� Signature of Applicant — Owner Contractor ❑ Agent ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 68.50 I I HAz I DFEES I IMP I FLOOo I CDF I PARCEL I PD I HD 1 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do r t i it work indicated abovty(frwhich fess have been paid. �" /' jDIRECTO�R+'f3F PUBLIC WORKS By 1J �.�l�s_/(i(T�X Date PERMIf'EXPIRE6 Date Kiri Receipt No. 103360 WHITE-D.P.W., YELLOW-ASSE350R, PINK -INSPECTOR, 60LDENR0D-A1PLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION `AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 61-45-10 & 062-610-019 ZONING• U BUILDING PERMIT OWNER WILLIS GOUGH TELEPHONE 589-2551 SQ, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 99 CAMERON DRIVE BERRY CREEK 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR NONE ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11111 ORO UINCY HWY BERRY CREEK Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities n Installation❑ Other ❑ Describe work: ELECTRIC FOR WELT, REPLACES SPRING WATER. SUPPLY Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI 37.50 OCCUP.N\ NEW CONST. / DWELLING OR ACDNS. ACC. BLDGS. // l 3.64sq.ft. NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e1 -SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. Ex. Occup. OUTLETS IRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 PRE INSP 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. �d 1 shall not employ any person in any manner so as to become subject J� 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in copse uence of the granting of this permit. Date �1 1 � Signature of Applicant — Owner Contractor ❑ Agent ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 68.50 I I HAZ I DFEES I IMP FLOOD I COF I PARCEL PD HD ISSU This permit is hereby issued under the sions oft utte County Code and/ work ZZd1c ed abo f which fe DIREC F P B I PER IR Date applicable provi- r r olutions to do ve been paid. KS/BY Date %Receipt No. 103360 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �l Z/J ' 0UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callffornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / ZONI"' BUILDING PERMIT OW ER - o ', TELEPHONE s ms's S0. FT. OCC. BUILDING VALUATION O NE 'S I ING ADDR SS La r© r Q CO TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO 5 ©UCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARC,IT M 6L HECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v' ,Vic Permit fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New L j Addition r /Remodel ❑ Utili Installatilon❑ �ther ❑ 7X Des ib work: c (� n_ � r lc- /� �o/ N 2 ae� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 �� saa Main service 600V OR LESS200A OR LESS 18.50 , S Main service 200ATO1000AI I 37.50 CONTRALTO S CENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ Ir 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.&\ OR ADDNS. ACC. BLDGS. 3.6Csq.ft. NEW CONSTSMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20 76d A FIXED A EX. DCCUp. OUTLETS PR EsI DIRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 M sc. Iyirin 9 15.00 / Q ,-e ' T o Permit Fee 9 $ - - 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 Se+f-Insure. ❑ I shall not employ any person in any manner so as to become subjectHood 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 Filing Fee 1 15.00 Heating Coo�i�e 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si natuA Applicant re of 9 PP - Owner Contractor E]Agent ❑ ❑ / An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ / rP HAz 1 0FEES IMP FLOOD CDF I PARCEL Po HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1t-33(4Zs -- —� WHITC•D.P.W.. YELLOW -•C -f 75DP Plwl[•Iu4PIrTnP Win, neuonn_.-e, ��ur OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION BATA SHEET _. ;ll;s Permit No. A. P. No. '`ASO - L-2 SL Proposed Building Use ICU II), �1?2 Building Inspector Date ©4,) " 7lp At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Nort,Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required: Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. l Fire Dept. Other Date By The following data must be submittedprior to�iermit issua ce: (Circle new i em not checked bove). 1. Index permit for above items No. Per Jtu v- -i a Lwa i 2. Additional it ms required: © ri QQr / c I S '1 %1 P P C' Y 4B 7 (a C- a .0Ca M eq- rn f 1�a,. Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, OroVille, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. 1 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/e-) 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 Owner--95<e_ Social Security Number Date 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. rna� 984 r',14.372* ,1 .3 72* GRANT DEED (JQin't 'Tenancy) For value received FRANK SMITH AND JAV;ES SMITH ?C x also known as Paulbne Fe King GRANT ........ to PAULENE KING, an UP -married woman, as to an undivided one-hst tenants , asND �J�nLIS undividedAone'ILMA A; -half interesGH t asiSg f 41 t >� Joini enants, a 1 that reg propeA-ty situa e in the County of Butte ia, described as follows: Mate of Californ IThe Southeast quarter of the Northwest quarter; Southwest quarter of the ''ortheast q�ldrter; Northwest quarter of 14 the Southeast quarter and the Northeast gtlaI North,tthe South►•yest gixarter of Section 22, Townshlp 5lastf l•i. L. '•3. & 1'1. F;CCE"TING, THEREFROM that portion described in deed ofrom oration _I j. 1'1. 1licElroy et ux, to. Swayne Lumber Company, by deed dated January 24, 1919 and recorded February 17, 1919 in Hook 172 of deeds at page 196, reccrds of Butte County, being afoot widthstrip onfeachland sidesofvthedcenterstaked and platted 3_nfeetin line of a logging railroad. Dated ...................I':arch--- 10.1 .................:.... 19....5..9 STATE OF CALIFORNIA ss. _...._.._ ...................County of ...Butte................ 011..?!arch..11,..............-............. 1959.., Jack E., Stelle ._..........., a'Votary Public beforeole . ... ................... ..................... .... in and for said County and State, personallil appeared ........ __ :Frnk`Smith id James.,Smith....................... .. '.1.•.�..,1�:....._•.:.._•............................ .......... .... are sub- ].�lon»� tribe tt►c person s..ichose name's....._ ......... . seribv4 to the ri;it/lin instrument, and acknou+Iedged to me Matt..) ''y..rycctu d tJtc sn ......................................... ............. Notary Publics 311 Co))lnlissinn expires 9/23f. 61 ......................... ,Appl. No ............... 5 � 191} .............. ... ..................... C . . ............................... , :; "�: :u:.rl�G'J......_.. tr...1 ......................x-....... For Recorder's Use Only - RECORDED AT THE REQUEST OF OROVILLE TITLE COMPANY 11514 Lj 9S9 M. OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA Z1. ESTE , Cvu t d r 00 R rdar Fee S GX 72 Ste- go�< 24� -o ss- 3 PRE -INSPECTION OWNER: W (I I I S 6 D g� V '- ha rL,4 vet lei C. o a l� DATE rr ��II %�erry LOCATION : -//// O CSV t c �� � Vl �/ Cr e,e l_ A. P. # CONTRACTOR: Ock)Vl e v� ZONING " PRE -INSPECTION FOR: 9e /a Ce_ Oe t c 2 MCI Im C DATE TO INSPECTOR `7 %6 ' r PERMIT HISTORY: NONE ,C'j AS FOLLOWS:' TYPE OF OCCUPANCY Sd'" FIELD - IN'rORMATION BUILDING.USAGE: TENNANT: OCCUPIED [] HAS ELECTRIC HAS GAS Q HAS SANITATION -FACILITIES Q HEATED -COOLED PERSON CONTAC'T'ED OTHER COMMENTS: ACTION RECOMMENDED: M ISSUE 0 HOLD FOR T OTHER: n