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062-750-040
;Z!7�7 _7� �1 6 inl _'7 1 - 1? W.D. PAUL b NIS Simpson Ln(pri.Rd.),app a mi: S.of Bald Rock Rd. -turn right off gald_Rock. Rd.. - at Berry_ cr.Schook Permit # 9-7 � E ,M ( ew single family d 062-7507040 04-3489 HOFFER, TERRENCE L 4 93 SIMPSON RANCH RD, B CREEK CONT: OWNER -10 WINDOWS,DRY ROT,SID 062-750-040 05-0917 HOFFER,TERRENCE 93 SIMPSON RANCH RD,, B LE { CREEK tont: OWNER 1 REROOF 34 SQ i f • q� � I y ' r . a LOCfll =-=j 1� r +' NOTES RESIDENTIAL F PERMIT NO. — - - 0 - -- – - 05-0917 �HOFFER,TERRENCE i 93 SIMPSON RANCH RD, BERRY I r , CREEK ti ! Cont: OWNER REROOF 34 SQ i . t t i • ^R { r ' III . SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 'JOB FINALED Date Signature CHECKED BY J=OK 0 = Not OK = Not Applicable .,= Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support 74. 37. Vent Fan, Exhaust above insulation 75. 38. Condensate Drain & Overflow, Size & Grade 76. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 77. 40. Attic Access & Platform if Furnace in Attic Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date Elec. Receptacles in Garage (FF.I.)-Romex Protection Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls'over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65, Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK able . = otReady DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 penally of perjury that I am licensed 'Under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: 'OWNER -BUILDER DECLARATION I hereby affirm under penally 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 penally 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.).. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I a�m�E�x��emp%under Article 3 off the 8 sines and Professions Code Dale: � L e:LI= Owner: ��L/ 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. ❑ 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: PERMIT NO. BPO50917 Issued Date: 04/08/2005 APN: 062-750-040-000 Site Address: 93 SIMPSON RANCH RD BCK Map Index: Description: re -roof, 34 sq Owner: HOFFER TERRENCE L 441 COLUSA AVE STE C YUBA CITY, CA 95991 Applicant: HOFFER TERRENCE L 441 COLUSA AVE STE C YUBA CITY, CA 95991 Contractor: License #: Architect: Engineer: Carrier: Total Square Ft: 0 S. F. le Policy It: Valuation: $0.00 5/ Census Code: —J.certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the walkers' compensation laws of California, and agree that if I should become subject to the workers' b compensation provisidns of Section 3700 of the Labor Code, I shall V forthwith comply with those provisions. _ rn r, c� Dale: ' ? U .✓' `'� _ V/V Applica �^ WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor. code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is h 11feby Issued nr appli Die provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutions do wo Indl led bove for Mch as have been paid. performance of the work for which this permit is Issued (Sec 3097 Cl Date: �^ Name: By. PERMIT EXPIRES ON: �� ©� Address: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. O ' 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 stale laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Signature: Print Name: - Dale: � ' Awner❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor R. C. Building Permit 01-16-04 pg 1 t NOTES RESIDENTIAL a � PERMIT NO. _ 062--150-040 _ 0443489 ,; II HOFFER, TERRENCE� 1 93 SIMPSON RANCH RD, BERRY CREEK I CONT: 6WNER 10 WINDOWS,DRY ROT,SIDING F t 3 } SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB—STANDARD HOUSING LETTER •i 1,J013 FINALED (Date)— Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cert., 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 60. Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 62. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Door; Swing -Landing -Closure 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Duct in Garage -Damper 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 15. Access & Ventilation 78. 16. Insulation 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Date Insulation -Foam -Looked in Attic Card B-1 Date Card B-1 Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 83. 18. Water Pipe; Test & Anchor -Nail Protection 84. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access A.C. Unit Disconnect, Electrical -Plumbing 21. Test Tub & Shower, Second Floor -Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 22. Gas Pipe; Sixe & Anchors Water Well, Disconnect, Electrical, Plumbing 23. Fire Sprinkler; Test Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 92. 24. Fixture & Transformer Clearance -Ins. Protection 93. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 94. 26. Size Boxes & No. of Conductors Stapled 95. 27. Romex Installed Close to Edge of Studs & C.J. 96. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks O Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO43489 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/10/2004 APN: 062-750-040-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 93 SIMPSON RANCH RD BCK Date: Contractor: Map Index: Description: retorfit 10 windows, dry rot on deck, Siding OWNER43UILDER 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 Owner: HOPPER TERRENCE L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance,' also requires the applicant for such permit to file a JOSE ALVAREZ signed statement that he or she is licensed pursuant to the provisions of 11254 PEORIA RD the Contractor's Slate License Law (Chapter 9 commencing with Section BROWNS VALLEY CA 95918 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 530-743-7922 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 Applicant: HOFFER TERRENCE L Code: The Contractors' State License Law does not apply to an JOSE ALVAREZ owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 11254 PEORIA RD provided that such improvements are not intended or offered for BROWN, VALLEY 95918 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-743-7922 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' State License Law does Contractor: 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 an P ofessions Code Date: X • 10 •d Owner: 4 L1_ License #: 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 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 Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: to I certify that in the performance of the work for which this permit is issued, I shall not employ any persons 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte Cnunty Code r?or Resoluti to da work Ind' ted ab r for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /(P. Name: By Date: PERMIT EXPIRES ON: V Address: Dat ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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. ❑ 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 to or do menI of Butte County. I hereby authorize representatives of Butte County toenter upon the above mentioned property for inspection purposes. Print Name: V 04 Signature: Date: /(2 O O Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor !, BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP050917 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 0. V. UUI�U,��H 1 c„i ii, LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/08/2005 APN: 062-750-040-000 the Business and Professions Code, and my license is in full force and effect. License class : License Number: Site Address: 93 SIM_PSON RANCH RD BCK Date: Contractor: Map Index: Description: re -roof, 34 sq p OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: HOFFER TERRENCE L to Its Issuance, also requires the applicant for such permit to rile a 441 COLUSA AVE STE C signed statement that he or she Is licensed pursuant to the provisions of YUBA CITY CA 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 95991 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 rive hundred dollars (8500).): 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 Applicant: HOFFER TERRENCE L Code: The Contractors' Slate License Law does not apply to an owner of properly who builds or improves thereon, and who does 441 COLUSA AVE STE C such work himself or herself or through his or her own employees, YUBA CITY, CA provided that such Improvements are not Intended or offered for 95991 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' Slate License Law does Contractor: 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' Stale License Law.). ❑ I am Ex mp under Article s and Code Owner: Dale: �3��slne License #: 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 Architect: Is Issued. Engineer: ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code,qor the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy 0: Valuation: $0.00 / �(_J.cerlify that in the performance of the work for which this permit Is Census Code: issued, I 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. 7 Date: . v -✓ �c`/ J - Applica WARNING: Fallure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is eby Issued underappll le provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Civ.) Resolutions do wo Indl led bove for hick bes have been paid. performance of the work for which this permit Is Issued (Sec 3097 By:Date: Name: . _ —© PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & 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 slate laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: _ Signature: 17 k Dale: .owner EI Contractor ❑ Agent for Owner C3 Agent for Contractor .. o...... it nl_9R_nA nn 1 0. V. UUI�U,��H 1 c„i ii, 5Lm�11 ..C"'W", .LY—^�4<'.vY� u'C'iaF i' "'�'t�• 'L.4`F.=-•^n-55i�LdL< 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. —� L I personally plan to provide the major labor and material for construction of this proposed property improvement: YES [NO [ ]. I HAVE [X] HAVE NOT [ 41signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE ,TYPE OF WORK SIGNED: PROPERTY 0 V DATE: 7 G NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd W4!2004 Butte County Department of Development Services �11103T �F ADMINISTRATION t BUILDING t GIS `PLANNING o 0 0 0 7 County Center Drive 0 /� 0 Oroville, CA 95965 0 o 0 Cl)(530) 538-7541 Telephone -ti - (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. -If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, Califomia 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X Mic el C. Vieiri C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE t{: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE For office use'only: OWNER Last Name (TW NL First Name ddress State r:Z State Ci Phone S� Zip a• Planner Lic. # Class Phoned4,714 Fax 3 67/ O2/ E-mail APPLICANT SIGNATURE For office use'only: CONTRACTOR Name (TW NL Address SRA City State r:Z State Zip Phone E-mail Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE For office use'only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City State r:Z State Zip Phone E-mail Fax E-mail Planner State License Number APPLICANT SIGNATURE For office use'only: APPLICANT NAME Name Flood Zone Address SRA City State r:Z Zips`��� Phone l Fax E-mail Page APPLICANT SIGNATURE For office use'only: Zoning Property Addr C�2TFIty sa Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP 0Sd 9/ BIN # LOCATION Property Addr C�2TFIty sa Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq. Footage �6025 Li structure bunt witnout rermrts ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: I / —2 Bldg SRA Receipt #: � i� � Sheriff SMIP Dr Other Date Total REV 2-24-05 . >L SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only).. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 .Aft 'i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BPO43489 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/10/2004 APN• 062750-040-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 93 SIMPSON RANCH RD BCK Date: Contractor. Map Index: Description: retorfit 10 windows, dry rot on deck, siding 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 Owner: HOPPER TERRENCE L permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a JOSE ALVAREZ signed statement that he or she is licensed pursuant to the provisions of 11254 PEORIA RD 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 BROWNS VALLEY, CA 95918 she is exempt therefrom and the basis for the alleged exemption. Any 530-743-7922 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 Applicant-•HOFFER TERRENCE L Code: The Contractors' State License Law does not apply to an JOSE ALVAREZ owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 11254 PEORIA RD provided that such improvements are not intended or offered for BROWN, VALLEY 95918 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-743-7922 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of the Business an P ofessions Code Date:Li:--Lo'd Owner: License #: 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 Architect: is issued. Engineer: ❑ 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: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: y� I certify that in the performance of the work for which this permit is issued, 1 shall not employ any persons any manner so as 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. r Date: r O� �,1 / 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. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Codea or I hereby affirm that there is a construction lending agency for the ResoluY o da work ind' ted ab for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / Name: BY Date: PERMIT EXPIRES ON: V Dat Address: ❑ I 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. ❑ 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 forth or d ment of Butte County. 1 hereby authorize representativesof Butte County"/too" enter upon the above mentioned property for inspection purposes. Print Name: �l �= y� L u 14 e—L 2- Signature: Date: j ei 1 o 0 Owner ❑ Contractor Cl Agent for Owner 13 Agent for Contractor V. •p = Y- *:i.,• f Roay % a s DF�5 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 material for construction of this proposed property improvement: YES 1_1�rNO [ ]. 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: . PHONE: CONTRACTOR' S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: "ev, NO� This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. , Rev'd I1/4/2004 1 0, Butte County Department of Development Services ADMINISTRATION • BUILDING • GIS "PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile NOW Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Z Micyael C. VieirJ C.B.O. Malfager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.neUdds - "PLEASE PRINT CLEARLY" OWNER Last Name L First Name Address C, C r City �`3 � ' V� States Zip Phone7Y3 7Cl Fax E-mail APPLICANT SIGNATURE X For offic se only: CONTRACTOR Name O w (-- Address L City T No State Zip Phone Book Fax , E-mail Planner Lic. # Class APPLICANT SIGNATURE X For offic se only: ARCHITECT/ENGINEER Name w O� Address L City T No State Zip Phone Book Fax E mail Planner State License Number APPLICANT SIGNATURE X For offic se only: APPLICANT NAME Name w O� Address L City T No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE X For offic se only: Zoning Flood Zone SRA Yes T No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP BIN # LOCATION Property Address)LA4C� ol Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descrip ton or Scope of Work: % G t! cOLU L/—v Uj 0 G V, = T I ej ,Sq. Footage ❑ Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApp1SubRgmts.doc Page 1 of 2 4"ved Amount: Date: SRA Sheriff SMIP C� Other D ! Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. .California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 r Temp. Power Pole Z e, Called PG&E Temp. EI c. Serv. CaV PG&E 7- ZG Temp Gas Serv. -PERMIT NO. 1 59-76B, P, E,, M Called PG&E 4JOB0, FINALED (Date) (Signature) _ � Z t E -MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER W. D. PAUL r a. . `.-CONTR. 01+1 N F R :1 &CATION (A.P. 6i { N/S 51MPSON LN.) PRI. RD) APP a Mil. S OF BALD ROCK RD --TURN RIGHT 0 F 0B LD ROCK RD. AT BERRY CREEK, #•' _ SIGN. Temp. Power Pole Z e, Called PG&E Temp. EI c. Serv. CaV PG&E 7- ZG Temp Gas Serv. Called PG&E 4JOB0, FINALED (Date) (Signature) _ � Z t Framing Test Water Htr. Stucco Final Subpanels- Mesh MECHANICAL Grd. Fault Prot.";?% Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts - 1,5-- Underground Interior Lath Ventilation Permanent 1-5r Door Closer o? 3 " 2 C2-&),- Final _1—,;2L3�2Final DATE 0r f7 REMARKS OR CORRECTIONS P E COUNTY OF BUTTE — DEPARTMENT&OF PUBLIC WORKS `.--.BUILDING INSPECTION RECORD L ; BUILDING BUILDING (Cont'd) PLUMBING Setback 7 '--Z( — 7r, `:.' Firewall Soil Piping Forms Parapets 1st Floor Z - 2. - -7 Main Bldg. Restroom Finis 2nd Floor Footings Windows 3- ,Z� 3rd Floor StemwaIl Z - 7- - Siding To out Slab Roof Sheathing 7n(, -26 Water Pi in Piers Z `' �% Roofing Sewer -� Garage Fdn. Vents Fixtures Footings `L "" Z - 76 Garage Vents . .Water Htr. Stemwall Slab Z. 'Z. -746 Prov. for physically handicapped �' Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas - — Slab Final — Sanitation Patio FIREPLACE Final -23 - Footings Footing • ELECTRICA Masonry Walls Throat15 Rough Reinf. Steel Final Fixtures 4—.%3-72 Bond Be mi FIRE SPRINKLERS Motors e 7 Framing Test Water Htr. Stucco Final Subpanels- Mesh MECHANICAL Grd. Fault Prot.";?% Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts - 1,5-- Underground Interior Lath Ventilation Permanent 1-5r Door Closer o? 3 " 2 C2-&),- Final _1—,;2L3�2Final DATE 0r f7 REMARKS OR CORRECTIONS P E P TO Bui?d'g Department FROM Environmental Health RE. Sewagea.nd/or Water Clearance LCC ".110�i A . P", H been approved for DISFOS.L t,_,;A.Tt,F SUPP=LY Sanitarian Date. �L_� ��. . THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25 STATE OF CALIrRNI N THE BUILDING LOCATED AT: S reet Lot Number Tract No. EXTERIOR WALLS. ` / Manufacturer 64.` Thickness/Type (Z R Value CEILINGS_ p Batts: Manufacturer Thickness & R Value / Blown: Manufacturer Thickness No. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS ` Manufacturer �- Thickness/Type— L R Value ;SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS R Value GENERAL CONTRACTORS /".g ZL '4 �Z, LICENSE No. BY TITZEn-2D17 DATE _ % r -INSULAVA'Th N CON ACTOR: HAWKINS INSULATION CO. LICENSE No. - 215- 25 B TITLE G 2- DA L Y-/�/o �(a a-�p �-nor Y629 TO Building Department JJ FROIi Lnviromental Health P.NE SewaCge and/or 1',2ter Clearance TCO^.TION A. Py.. Has been approved for 1.711 TER S UPPLY r Sanitarian Date . ��O 9 �� • ti COUNTY OF BUTTE --DEPART MENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 _ Telephone: 534-4541 APPLICATION -AND PERMIT WORKS pr per yt BUILDING Owner u, L SQ. FT. OCC. BUILDING VALUATION Mailing Address N p y7"h v t, e aN Y S' Dect O. IL �' Telephone No. S"38" "'? f 6 C Fireplace 0 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ /� , Ob QC Building Address �Z/� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.0D % y Each Trap /01 1.50 ; p ' ® f Repair drainage or vent piping 1.50 Water( in P P 9 1,50 ca, nx&rk Each gas water heater or vent 1.50 / A. P. No. l� Z _ a/ .. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es W`,,fa' I Opi ion Fire Dept. Fire Zone 11 Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Par a P 60' R/W Im provements Lawn sprinkler system 2.00 LBlag. Plans Recd Parcel pproval Plan pproval Permit Fee $ ,50 $ Sc NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1.6.0 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25,00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. DWELLING OCCVP% & ) 21t sq ft OR ADONS, ACC. BLDGS. _ NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea _ NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)�@1 BAL 1 Ex. Occu FIXED APP LNS, OR P'(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E]4 -am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. R7f I certify that in the performance of the work for which this J'+ -permit is issued I shall not employ any person in any manner so as,to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3.0� Heating Cooling Ventilation Hood /1 2.00 ,00 Permit Fee $ 5,00 $ sap 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 o f TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of or I spection purposes. X Datek/ f Signature of�� P��errmitee or Agent Receipt No. / '�'% —2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been pa . DIRECTOR OF P LIC WORKS By Date B/ding permit expires Date /-7,0-72 - AT 7"1 'tw, , I- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Countv_Center Drive — Oroviile, California 95965 62-21-71 Telephone: 534-4541 %/^ -76 Permit #25Kfi�7('�Pyradd open deck/SF) r, 'PLICATION AND PERMIT / VVVJJJ - BUILDING Owner r Z�PAU SQ. FT. OCC. BU16QING VALUATION Mai I i ng Address ^`_W Ute 4 . — V' L ` � Tel h e No. Fireplace Contractor (I AMR Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address �� �+j tP PRII R4 PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 8ep A( MI. %3tJ ©Cj—, J Each Trap 1.50 (.L1 S I Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / A. P. No. C�� ` --- ` Zoning $Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. S •i do FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION �UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 % Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 (� Single Family 1"�� Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 21.00 EA. ADD'L 100 AMP 1.00 Main serviceNEW CONS.// OR ADDNST ( ACCLBL GSDWELING CCUP. 9 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @ 254 BAL@1 Ex. OCCU FIXED AS LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Misc. Classification Wiring 6.25 m exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �2 �cY'c.�ci�ara„vca vi ulc UVUnty VI C/U Uc t CII ICI upun ule above -mention d property i ction purposes. X” Jf7 /1JJ ate/ Signature of Permitee/or Agent Receipt No. ` �/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date JRDED AT THE RE?VEST O% { tr�E f,'0Qf%'rY T.M-E t.. ff ................................................ --'---' ............ MAP --- 3..1951....'.... r 4... T Page ............. :`..!•.i�l! ^ NIP "01H, C, i y R corder ""'"..""'.."�' RECORDER •. 21 03 Fee $.-------•.`......._ Out n t;D t t b (Joint Tenancy) jFor value received KENNETH KEITH WILLIAMS AND VIRGINIA LEA WILLIAMS,' h i s wife 1 Y I N A GRANT ........ to -Walter D. Paul -and Golene Ann PaL!ij•his wife; as JOINT TENANTS all that real property situate in the Count BUTTE Y of _ _ ,State of California, described as follows: Being a portion of the Southeast quarter of the Southeast quarter of Section 34, Township . 1%!North, Range. 5 East, M.D.B.& M., and more particularly described as follows: w "I3eginning at the Northeast corner of said.Southeast quarter of -the Southeast quarter of "Segti4134;.thence along the East, line thereof, South 011 10' 02" West 488.23 feet to the point:of:beginning for the parcel herein described; thence from said *rue point of ginning, South 010 10' 02" West -16.7.54 fee;; thence North 890 50'- 12" West 130.0; thence North 01°.10' 02" East 167.54 feet, more or less, to a point which` -bears North 890 47' 1,6" West from said point of beginning; thence'South 890 47' 16" East•a distance of 130.0 meet, more or less, to the point of beginning, n '-H-es-d?7fng` there roid 6"'hdn= xcl'usiv� a ea ent -for •r d purposes over a" 1 that p� � ' p p portion of the ' above,'described parcel lying within the boundaries of a strip of land 60,00 feet wide, lying`30.00•'feet-on each side of the following described line: ` Commencing at the Southwest corner.. of t;he-'No.�.theast quarter of the'Southeast quarter of Section 34, in Township 21 North, Range 5 East, M.D.B. & M.; thence South 890 08' East along the Southerly line of 'rhe Northeast quarter of -the' Southeast quarter.of said Section 34, a distance of 351.0 feet to the true point of beginning.for the line described � _herein; thence South 610 00' East, 195.90 feet; thence South 090 28' East, 1'30.80 feet; thence South 431 48' East, 449.40 feet;,thence North 89° 02' East, 148.45 feet; thence South 600OJ' East, 326,90 feet to the end of said line. �T Together with anon -exclusive easement for road purposes over a strip of land 60 feet � ;wide, lying 30 feet on each side of the following described line: ��v;aear'saLitlC at the Soutnivest cornar of the Northeast quarter of the Southeast quarter of (-Section 34, Township 21 North, Range 5 East, M.D.B. & M:; thence East, along the South k line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of + 211 feet to the point of beginning of said line; thence North and t parallel to the Westerly -line of the Northeast quarter of -the Southeast quarter of said Section 34 to a point on the'Southeasterly line of the Bald Kock County Road and the end of said line. ki-llso�together with a 60 -foot non-exe'lusive for road -purposes only lying Northerly of and ma- aeent.,•to the following described line: ,,Comraenci'ng at the Southwest corner of the Nva-Ithaast quarter of the Southeast quarter of tzs'ection 34, in Township 21 North, RaK.age 5 East',`M.D.B. & M.; thence South 690 08' East, �l�along'th�e Southerly line,of.the Northeast quarter of the Southeast quarter of said Section `'1 34, .a disfance� of 180 -feet to the true point of beginning -for the line described herein; FtNence from -said point of beginning, continuing South 890 08' East, a distance of 171.0. feet -to the end of said line. 14 ' Also together with a 60 foot non-exclusive easement for xoad.purposes only with the L..' centerline described as follows: Commencing at the Southwest corner of the Northeast quarter•of the Southeast quarter of Section 34, in Toi+mship 21 North, Range 5 East, M.D.B. & M.; thence South 890 08' East I. along the Southerly line of the Northeast quarter of the Southeast quarter of said Section 34, a distance of 351.0 feet to the,true point of begipning for the line described herein; t,Mr,ce South 61® 08' East, 195.90 -feet; thence South 090 28' East, 130M feet; thence gout 43® 481 East, 449.40 feet; thence North 890 02' East, ?:M.45 beet; thence South 600 En.0, 326.90, feet tw the end of said 11ne. _I 1� i...' ►� !I IIC_ FILE MEMO OWNER lQ AP NO. — A' " �/ At time of permit application,- the applicant was -advised the following data or information must be submitted prior to.permit processing and/or issuance: • 1. 2. 4. .5. 6. 7. / 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. M1 All items have bee bmitted. Plot plans in 1' replicate. Complete plans i duplica,e triplicate. Complete engineer e and calcs. Fees of $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration.. Access declaration. Aunt Minnie information. Deed of access. Deed of parcel creation. Parcel map. Pre -inspection request for Other L1 ' By Date Vr Bldg. Inspector �mmmammmmmmmasamaammsmmamaaaoaaaaoamammoaaaammamaaoamaaoammaaasamasoamaaaoam�mmama�mmmem�m�m��am� When permit is issued, process as follows: 1. Mail to owner. 2. Mail to.contractor. 3. Deliver with ins ection. �-� 4.. Telephone Z and hold 'for pickup. 5. Other omsaonaaoommoaaaaoasnaaooaoaaaaaeanaaocoaaaoscaaaaaaoaaona�a�ao�aoaaaamaaaaaaQeaoanoaaanaaasaaaaa3 During plan checking process, the following data or information must be submitted prior to permit issuance:. 1. Index permit for items numbered 2 X above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date aeo=eeeeeaaaaea-----------a�C�CC=a7aamaaa�aaCaCaaaa7aaDaIIaaamamaDaamaCmaaammmaamtmas�o��m��smm�mo� Additional Processing or Notes: M=M IM-7mr,71 77 �777 TT -:� � ,,, � - , -7-1 � � I .. .�I, , I I !�: �: 11, 1 1 ", Q!` bmwUm wit 41 *.-1! �:Q i -4-, 't^ i�4 Ax Oro, 7 too,. !"-o-1 N. Ai, A Ao. To': SA n :. - '. - vi! ft�l��g nod A A N -saw U ivl(A 4 Whom lor citeirlirA: A eq:ip" WiAouf. i qw; fq r; P0, miy of Buffet V Qv V1 Lf it tone Cpurq Ulk ATT AW W, Q 1A W its Md tP 7" 7z OWN r7 :6TJ Afta 1BOVE "CO U N TlY BUILDI, MAI& Nr.7 bVArUM,sNT O.Wt A ROVED PPI - RAW hiss' 7 4 Ink, 1. V I - I I - . -0 , L I � A liq- 'Mvo Ilk. 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