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HomeMy WebLinkAbout063-040-071A 63-04-711 dFGary & Alberta Johnson C} --1roff-W/S-.Schott-Rd,-.aPP 1 •mia f Hwy 32, Forest Ranch s; 63-04-71 �q C u f` ap % GAIL CO ON ;,1000' -off-17S• Schott Rd,--1-•mi E. -of- ---- Hwy 32, Forest Ranch Permit#3070-82B,P,E,M(convert storage bldg to food processing )�� r � �`-�s—q 063-040-071 O 11-'1406 AUGROS, BILL & KATHY 5196 SCHOTT RD. FRST RNCH CONT: ALLPHASE CONS �a`e ELECTRICAL 063-004-071 01-1496 AUGROS, KATHY 0 -al - o ) 5196 SCHOTTS RD. FOREST RNCH CONT: SUBURBAN PROPANE I K1STAI .I ,. PROPANE GAS LINE -063-400-071 - 01-1556- AUGROS, KATHY 5196 SCHOTT RD. FOREST RANCH CONT: UNK REMODEL WALL/WINDOWS/KITC 001-040-071- ' -//�_ nn` 0-+ O l =1746 AUGROS, WILL/IAI :CATHERINE 5196 SCHOTT RD. FOREST . RANC� CONT: OWNER "IQ 5 GARAGES W/STORAGE UNITS _ 063-040-07.0 _ 0172917 AUGROS, WILLIAM & CATHERI ,1 5196 SCHOTT RD, FOREST RAN EXTEND PLUMBINC, •Ejn� dj 063-040-071 04-3184 AUGROS COMMUNITY TRUST, 5196 SCHOTT RD, FOREST RANCH Cont: FOUR SEASONS ROOFING REROOF 0 63 -04 -71___ -- GARY & ALBERTA JOHNSON 1000, off W/S Schott Rd, E Hwy 32;FR Special Inspection #27-82 063-040-071 01-110AG AUGROS, WILLIAM & CATHERINE 5196 SCHOTT ROAD., FOREST RANCH AG EX PERMIT-STG 063-040-071 AUGROS, WILLIAM 06-1212 5796 SCHOTT RD, FOREST RANCH Cont: RELIANCE PROPANE PROPANE-SHOP/GARAGE/STYE %..r . _ .�� �� � ,��-= �, .. es, r +063- 040-071 06-1212 AUGROS; MILLIAM s. T N OTE S i 5796 SCHOTT RD, FOREST -RANCH Cont: RELIANCE PROPANE aow i PROPANE-SHOP/GARAGE/STYE r RESIDENTIAL APN: Owner: Site Address: Contractor: Permit No. Type of Permit: -w+ CHECKED BY SRA J FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: �( s SIGNATURE: v=OK 0=Not I RESIDENTIAL (Single & Duplex) uric JUNutKrLUUK uAlt IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg DRth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc . 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub '& Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 10 UF, Gas Pipe; Sz Anchrs-Sz Test ° �s 90 41 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12, Elec Undrgrnd DATE M E C H A N' I C A L 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 GirdersSilis-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace In attic ° FRAMING 17 Silts Proper Materials & 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, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & BeamsSi &-Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Cirnc 26 Attic Acc; Sz & Rmx 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-Undrnr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws _ O Ur 'i' o' • °`s °' °`mac`. DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc-Ins 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 ga ❑CU or ❑AL AC Wire Sz ga OCU or QAL 48 Range Ckc ga Ej CU or QAL Oven Circ ge Q CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o $: Ole cT� 00 e`er FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cirnc-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 Drnge & Wood -Earth 86 Cirnc Drnge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvi 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler o0 1P +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS, DATE PERMANENT FOUNDATION SOFT -SET 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 Loctn-Clrncs-Grnd Amp -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 -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers ----_DATE D E C K S -C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing . Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-DnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis 411 ° 0 DATE IP O O L S 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 Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7'Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-En6lsrs-pnlboards4nsultn to Main Conduit 9 Health Not Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 40 °a �s 009dye Pool Drawing n Bu,:u1U-029,:ct�* ' T aa�a + '-HARRY' 06-11-33-, N O T E S 7 .. �c c Cl�r�;.c .s TIKA LN MAGALIA, , ont OWNER �'_,rrN "�. ELEC SERV (WELL)' APN: Permit No. Owner: Site Address: Contractor: Type of Permit: 0 FILECOp� Address 1< GAS Meter By ELECTRIC Date Meter By _ Date M coM SPECIAL N (TIONS CHECKED BY ❑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 DATE JOB FINALED: E-30 OL SIGNATURE: - =OK 0 - No1 RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs " 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic 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 DATE IM E C H A N'l C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insults &Support " 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & 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, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & beams -Si & Bearing 23 Hangers-PostCaps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frpic Ties or Type A Flue-Frpic Throat Clrnc 26 Attic Acc; Sz & Rmx 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 Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wail pnls 38 Insultn-Walls-Ceilings 39 lnfi ltration-Wal is -W ndws L DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins 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 , ❑ CU or ❑ AL AC Wire Sz 0a [_1 CU or ❑AL 48 Range Circ ga ❑ CU or [_1 AL Oven Circ ga [::ICU or Q AL Insulated Neutral Q Yes Q No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Alr-Cnnctr In Garage; abv-flr-Ducts-Mach Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frpic or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrr c 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure r! 79 AC Duct in Garage -Damper l 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv f rf 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 Drnge & WoocJ-Earth 86 Clrnc Drnge Planters Q Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr &'Sewer Cnnctd-C/O to grade -HD Apprvi 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler v=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 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 Loctn-Clrncs-Grnd'Amp-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-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -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 Number: DATE ID E C K S'C O V E R S•C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Ocking-Brcing . Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 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 Lting; 15 volts-GFI 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-En6isrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl .. 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide J V A Pool Drawing BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061212 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 05/22/2006 APN: 063-040-071-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 5196 SCHOTT RD FRN Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: PROPANE TO SHOP/GARAGE AND TO Contractors' State License Law for the following reason (Sec. 7031.5 HEAT STOVE AT HOUSE 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 Owner: AUGROS COMMUNITY TRUST 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 AUGROS WILLIAM A &CATHERINE R 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 TRUSTEES applicant to a civil penalty of not more than five hundred dollars ($500).): PO BOX 130 FOREST RANCH, CA 95942-0130 ❑ 1, 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' 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 Applicant: AUGROS COMMUNITY TRUST 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.). AUGROS WILLIAM A & CATHERINE R I, as owner of the property, am exclusively contracting with TRUSTEES licensed contractors to construct the project (Sec. 7044, Business PO BOX 130 and Professions Code. The Contractors' State License Law does FOREST RANCH, CA 95942-0130 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�off the Business and Professions Code 06 (p "� Dat Owner: Contractor: RELIANCE PROPANE WORKERS' COMPENSATION DECLARA ON I hereby affirm under penalty of perjury one of the following declarations: 6426 SKYWAY ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the PARADISE, CA 95969 Labor Code, for the performance of the work for which this permit 530-872-9200 x206 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of License #: 734318 the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Architect: #: Engineer: ���Policy Apr, I certify that in the performance of the work for which this permit is l 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' Total Square Ft: 0 S. F. compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Valuation: $0.00 Dale: t�—?a ��p Census Code: Applicant:. (�Il2ayg2: 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. q-' j CONSTRUCTION LENDING AGENCY This permit is hereby' sued under he applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions o ' rk indicated a ve for which fees have been paid. J (Y performance permit „ S - �Q- By Date:/ "�" Name: Address: PERMIT EXPIRES ON: 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 & 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 form or docum of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.. � (l•l A. d (icy � O � esJ rw Print Name: W ^ Signature: ` Date: _ �/ t� i 6-1 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" (�A APPLICANTSIGNATURE X For office use only: OWNER INFORMATION Last Name y I �2 v �9 First Nam gt �,lX�) n Address City °' City State State Zip Phone Fax E-mail Lic. # (�A APPLICANTSIGNATURE X For office use only: CONTRACTOR Name W oeJ v Address Map Book City °' Lot # State Zip Phone If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Fax E-mail Name Lic. # Class (�A APPLICANTSIGNATURE X For office use only: ARCHITECT/ENGINEER Name v Address Map Book City Lot # State Zip Phone If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Fax E-mail Name State License Number (�A APPLICANTSIGNATURE X For office use only: APPLICANT INFORMATION Name v Address Map Book City Lot # State Zip Phone If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Fax E-mail Name (�A APPLICANTSIGNATURE X For office use only: Zoning Flood Zone SRA I Yes 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. cy - Ja-I BP BIN # PROJECTLOCATION Sheriff Property Ad ress '4 �1 Cit D (� Cross Street ` Total 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 Description or Scope of Work a � v r Sq FT -Living Garag Open Cov ❑ Structure Built without Permits ❑ 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. Recei by: Amount: SRA I M0 Receipt #: Sheriff SMIP Date:l,� S Other ` Total Page 1 of 3 REV 8-12-05 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, p Copy of M.H. Title, Title transfer , or MCO. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 NOTES RESIDENTIAL 063-040-071 01-1746 AUGROS, WILLIAM & CATHERINE 5196 SCHOTT RD. FOREST RANCH CONT: OWNER 5 GARAGES W/STORAGE UNITS SPECIAL CONDITIONS �� II SRA FLOOD CERTIFICATE REQ. I FIRE SPRINKLERS REQ. ----.:-SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f' s JOB FINALED (Date c , o Signature L CHECKED BY V=OK Sewer; Location -Test -Fall -C/O -Concrete 0 = Not OK Water; Location -Test -Easement Needed (Sketch) - = NotApplitable MOBILE HOMES = Not Ready 6. Date MOBILE HOME UTILITIES (Plans) OK except #'s Well Clearance 8 Disconnect 1. Zoning Requirements -Setbacks -Easements Utility Clearance 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'fl. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. 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. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 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-Rttrs-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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 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,. (� Date 46. 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.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped S. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral C) Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Inf iltration-Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 County Center Drive - Oroville, Cafifornia'95965 - Telephone (530) 538-7541 PERMIT NO. (RevA2/96)' APPLICATION AND PERMIT QZ-17 6 ASSESSOR PARCEL NUMBER 063-040-071 ZONING TM 20 - BUILDING PERMIT OWNER AUGROS WILLIAM & CATHERINE TELEPHONE 895-9229 SO. FT. OCC. BUILDING VALUATION p , UU OWNERS MAILING ADDRESS PO BOX 130 FOREST RANCH CA 95942 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 14,440.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 105.30 BUILDING ADDRESS 5196 SCHOTT RD. FOREST RANCH Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBD E _ I J PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )a Other spEClw Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 5 GARAGES KISTORAGE j.J.j\ ITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE i ELECTRICAL PERMIT I Fling Fee 20.00 Main Service ioo� oa LES 23.00 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.P License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw f r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.50 NPN q�IS.T. MULTI-OUTLETU. 99 @7,50 ' OWER APPARATUS 8 SINGLE OUTLET CIR. EX, Occu OtmFr OR FIXTURES 20 Q 1.00 BAL @ .so Ex. Occup.. oUTLEE°TSA RES, 6.LNSoEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 48.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) L I certify that in the performance of the work for which this permit is issued, I shall I/ not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co I Nilli those provisions. 64J X `N - Date _C2 Signature of Applicant - ❑ Obifner ❑ Contractor ❑ AgeriV An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 335.30 �Z. D �E IMP FLOOD 4— PARCELPD X HD s 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. 7/0'/ By at/ey PERMIT EXPIRES ON / eta Receipt No. 324957/335.30 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F-uun I T ur tt3u TTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT /=i ��i�'� SNOW AeSESSORPARCEL Nu►bEA, _ �I'G BUILDING PERMIT OWN6R NE SO. FT. OCC. �BUILOING VALUATION Fre lace Total Valuation E Filing Fee S 20.00 Permit Fee Plan CheckingFee t 3p Energy Plan Checking Fee S OW COMM TELEPHONE CONTRACTOR'S MILLING ADDRESS CONNTRUCTION LENDER LENDER'S MNUNG ADDRESS ARCHMECT OR ENGINEER LICENSE No. ARCWrECT OR ENGNEERI MAILING ADDRESS BU,LDINGADO �p, �S h i MULTI.OUTLEr S LOTNO. I SUsonncN'SNAYE PARCEL YAP �I liZ e PERMIT FEE _ 3 PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome .Other 4L/2�-e oPWFv Each Trap 7.00 Solar or heat um w ter heater 23.00 Water piping 15.00 n UETS ESIDS .SEA TYPE OF WORK New 13 Addition 0( Remodel 13 Utilities O Installation 13 Other ❑ Describe Work: ��l s �Q���� Each ns w heater or vent 15.00 Gas I stem 1 - 5 outlets 15.00 Bun sewer 15.00 bite Home S I G W Q20.00- 00 SavoW 4o *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOUNT RECEIVED P *RECEIPT NUMBER c� *-TO BE PVT INTO COMPVTER - PERMIT FEE It ELECTRICAL PERMITFIIn Fee 20.00 Main Service °SOV OR LESS 200A OR LESS 23.00 Main Service 20011 TO 1000A 48.00 NEW CONST.ONELLM OR ADDNS. OCCUP. i ACC. SLDS. NON-RE91D. MULTI.OUTLEr (07.50 If POWER APPARATUS i SMILE OUTLET CLR. i Ex. OCCU OUTLET OR FLKTURFS 200 1.00 BAL 30 I Ex. OCCU I n UETS ESIDS .SEA 5.00 1 Temporary Service 23.00 1 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fae 20.00 I Hood / I 1 8.50 ffm tion Fee i ee S I -TYPET AL FEE s � � 1 FLOOD COF P SIBS LWSLIE This permit is hereby Issuedunder the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date I Rev. 121913) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER /' -3 , �� -2 / 1p / ZONING BUILDING PERMIT - OWNER //�y� �f TELEPHONE C� �Cy SO. FT. OCC. BUILDING VALUATION cl OWNFA$/ o1 ADDRESS / 3 o '/'�s���'-�r 9!i Y/Z_ i CUMRRAAJCTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MNUNG ADDRESS / Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ �� L ARCHITECT OR ENOPIEER S MAILING ADORESS - Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ o � / PERMIT FEE $-- UOTNO. SUBMISION9NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other Each Trap Solar or heat pump water heater Water piping 7.00 23.00 15.00 Each as water heater o ent 15.00 TYPE OF WORK Gas piping system - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ ❑ In 1 tion ❑ Other ❑ Buildingsewer 15.00 pUtilities Describe Work: l P7 01-j LR % Mobile Ho e S G W Q20.00 S±�i°le-• f7cJ/;4�= !4lL/1,1-/ PERMIT FEE S ELECTRICAL PERMIT 800V OR LESS Main Service 200A OR LESS Fling Fee 20.00 23.00 Main Service 200^ TO 1000A 46.00 I j f - /^ 4 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. NEW CONS MUL 111 CIRCUITS HON RESID. .. 35¢so Fr. @7.50 IIGVXt7/VJ l//i V POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA Temporary Service 20 Q 1.00 BAL @ _50 S.00 23.00 Mobile Home Facilities 20.00 Q/�/� - J i F� (/vV ��" I ��� i Misc. Wiring23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 /2/f / /.�Cooling Heating Hood 6.50 i Ventilation PERMIT FEE S 7 /u Mobile Home Installation Fee $ Energy Inspection Fee $ D" CONST.TYPE TOTAL FEE $ 3 S'3� HA: p, FEES IMP FLOOD COF PARCEL PO (SID ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON ^ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance P\i. i E.H. USE ONLY Plot Plan Attached (/� Floor Plan Attached Sant to Owner Location AP# Plan Approved for: Sewage Disposal ci Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: 72/34 Environmental Health Specialist Date . 8/96 COU14TYOFBUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET 3"ProOWNERUb o -N I I VQ VAS ASSESSOR PARCEL NUMBER: 6-3— Proposed posed 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: Date Received By ❑ 1. All items have been submitted------------------------------------------- `------------------------------------------ - . Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ wComplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form... -- ---------------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- �12. California Department of Forestry plan approval/fees.----J�'-----f«--t{Q----------- 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval _A� OHealth Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: 0 (B) Parking: -------------------------- 1,8. Contact Land Development about ❑ Improvements, ❑ Drainage,"�gal Parcel. ----------------------- % --------------------- % 9. Encroachment Permit for driveway (construction approval prior to occupancy). -------- --`----------------- ❑20. Pre -inspection for required. Request to Building .inspector on 021. Contractor's license information. (Number, Name Style, Classification). C�22. Workers' Compensation carrier and policy number. ----------------------- lvb3. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -. ❑ 24. Letter of signature authorization. ------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. ------------------------- ❑28. Existing violations and/or expired permits. ------------------- ❑ 9. 0433 A, ❑GlIrant Deed, 13M.H. Title, ❑ C eck to H.C.D $ 0. Other: �TA6ht?([ 7-119-01 CVW (Date) When you issue the permit, process as followia i airto owner, []Mail to contractor. ❑Telephone _ and hold for pickup at office.)Deliver with inspector. Applicant: &q&&S Date: �9 LZ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di 'sion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin D ision counter, by D te: Plans reviewed by: Date: Plans approved by: Date: 'l D Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING 1A FN: j- �� _ On — �� ir ONE: uBUILDING PMT. # I OWNER: .v►tia, 1�f L.� q t(2� S MAIL ADDRESS: P -© • �&x 13`1 v Lp SITE ADDRESS: PROPOSED USE: S� V2QQ{ PHONE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION th GENERAL INFORMATION: 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? 7. Will this building be occupied at any time as an eating area? 8. Will this building be occupied at any time as a cooking area? 9. Will this building be occupied at any time as a living area? SITE CONDITIONS: 10. Is the structure foundation within T of septic tank or 10' of leach lines? 11. Is any portion of the proposed structure located closer than 20' to your front property line? 12. Do you plan to add a driveway or modify existing access to a county maintained road? 13. Will the proposed structure encroach within any recorded easement? CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? 15. Will this building be heated or cooled? 16. Will this building have a water closetttoilet? 17. Will this building have a sink? 18. Will this building have a water heater? 19. What type of floor covering will the building have? Co_ ')Cc- - �l 20. What type of wall covering will the building have? L)ny W 0.,\ Yes: No: Yes: No: Yes: No: Yes: Yes: No: No: Yes: No: Yes: Yes: No: No: Yes: No: Yes: No: Yes: No: �— Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: 1,U Q -4-t K-�G r uw. s ADDITIONAL INFORMATION: / S 1 S 1 S 2 0 N� IJ UJQ�LJ� ENS i 8? 4D 3 a �� /sem rl k� U N l l S we�u- I hearby affirm under penalty of perjury the above infromation Is true and correct. 1 understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. 1 understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. 46� Aa4td,-,riqero i l OWNER'S SIG RE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: COMMENTS: DATE: OWNER -BUILDER VERIFICATION 1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide a jor labor and materials for construction of the proposed property 'improvement : YES... NOD ' '2. I HAVE HAVE NOT O si ed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.pwyic e.the•.proposed construction: NAME. ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired -the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: .I • r > 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: a PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: fZjq L-8 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 ojrtce before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvemeats specified For your protection, you should be aware that as "owner-buildee, you are the responsible party ofrecord 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 aro 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. i lfyuj pled to ddj+oiir own wodr, with the exception of various trades that you plan to subcontract, YOU should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (inchtding matteeriaals and other costs) is $300 or more for the entire. project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administradon). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda OVER c'•y, «a ..+r-.��,,.,_..,....,.c.e.}w.e"+... +r.. ... .. �n.,,,v, Fw. �._. f- a.rc...w' :.5'�w..j.�•.c.ry+,r .. ., -r�r -.-+, � _ .. _ _ . r ' • 1 , � s 0 3 040-071 A UGROS (. . ,BILL & KATHy 01-1406 3196 SCHOTT CONT. FRST BCH ALLPHASE CONST ELECTRICAL f . C 1 ' 4 i k r,t .,,eft l�/_• � AUNTY OF'BUTT'E -DEPARTMENT OF DEVELOPMENT SERVICES - BU&DING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530).538-754 PERMIT NO. (Rev.12/96) APPLICATION'AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT R j Al ]GROS AM KA"'JiY TE SQ. FT. OCC. BUILDING VALUATION OWNERS MA ADDRESS C 9-59-422 CONTRACTOR'S NAME NTTELEPHONE AJJ 1CrT0N ax _)Ac -ER CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDEA Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS '�'� t✓ ,fk.. r. j', , C - Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP 3u' ci rt PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: E31MICAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ CIafILT iS41l ♦ 971 75M EZ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Scommencing with Section 7000) of Division 3 of the Business and Professions Code, aha my license is ^infull force and effect. e� License Class 1�� Lie. No. �% 7 4 V { OWN OLDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier , Policy Number ` (The above sections,need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Ji(I ce4tify that in theiperformance of t6e•work for which this permit is issued, I shall not employ any person in la manner so as to become subject to workers' laws of California, and-a®ree that if I should become subject to the workers' compensation provisions of, section 3700 of the Labor Code, I shall forthwith co ply With those provisions. r/ X OC.� lz Date t%n %� — Sign ure f Applicant - . Gwner Contractor ❑ Agent An OS permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. ( DWELLING OCCUP. SD OR ADDNS. s ACC. BLDs. 3.50FT. N NDN•REsCONSID. MULTI -OUTLET . 97.50 POWER APPARATUS S SINGLE OUTLET CR. EX. Occup. OUTLET OR FIXTURES SAL ®1.50 Ex. Occup. ouTLEeDTSA aM.DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fiffng'ISe�� 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee OCC CONST. TYPE TOTAL FEE-$ 89.00 HA2. D FEES JMP FLooD CDF" X pARCE`4J Po D RC r X IS/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above fo whicfees have been paid. By Date 4:Z1,11471 2�/O PERMIT EXPIRES O ��/,/� ^ Te Receipt No. 6 -A WHITE-D.D.S.-B.D. CANARY S ESSOR PINK -INSPECTOR GOLDENRODPPLICANT 06:3-009'-071 . O 1-1496 KATHY s LTS RD. FOREST RNCH BURBAN PROPANE PROPANE GAS LINE (OFFICE COPY Address �! GAS /1 Meter By U Dat 6 ELECTRIC J /� Meter By V Dat (j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 RMIT NO. (Rev. 12/96) `-'APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER 3 - (:)1/,- 1 /,- � ` // ( ZONING BUILDING PERMIT OWNER RM VR7� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADD SS 51 C .S C Mo Jrsr eAr r�►"/;� C CONTRACTOR'S NAME TELEPHONE J �... CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS/ Q� , ` Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF/Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: trn % a _,c Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (020.00 PERMIT FEE $ ,- ELECTRICAL PERMIT Fling Feel 20.00 Main Service 2200AA oA LESS 23.00 LICENSED CONTRACTOR'S DECLARATION • I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ) Lic. No. i '7 ir�� OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. WA have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 RMIT NO. ..- �l et (Rev. 12/96) APPLIGAhbN AND PERMIT (42 ASSESSORPARCEL NUMBER -� q o t/- � J ✓ ( !A ZONING BUILDING PERMIT OWNER ) �� ,J w ^ TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING/ 6 S�yo � n CONTRACTOR'S NAME r i?i TELEPHON/E`"-'�V•- CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS O p( Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �� s0-i+����y�� �, ,,` Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 (920.00 PERMIT FEE $3 5 - ELECTRICAL PERMIT I Fling Feel 20.00 R LESS Main Service 200. OR LESS 23.00 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 ' in full force and effect.pSINGLE License Class . O. �. Lic. No. ^% 2..% (p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( a AGC. BLDS. so 3.5¢FT, p RESID MULTBRANCI-OUTLET1. @7,50 owER OUTLET APPARATUCIR.S aEx, OCCU OUTLET OR FoctuREs 20 @ 1•00 BAL o .50 LNS Ex. Occup.. ouriErs (..16.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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. M-11 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' 99Tpensati9Insurance carrier and policy number are: Carrier L:tQY1GL_ PYDaf!14 ' (TQ5li /� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES S . Policy Number 9 'g 83 W (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 forthwith comply with those provisions. // &1-116 //' X C�v Date Signature of A p Ic nt - ❑ Ownerontractor ❑ Agent An OSHA permit is required for excav tions over 60" deep and demolition or construction/r of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ � 3 J ,� D FE6 IMP FLOOD CDF pARC0. pD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. / O � A7 to ReceiptNo. 3 Z 95 7.6 ,76 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT UU, ` , �F �ermiIS GxeM�Of per Assoc i✓� Cf�1e� BUILDING DIVISION - COUNTY OF BUTTE - DEPAhTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-754 AGRICULTURAL BUILDING EXEMPTION PERMIT he CEJ PERMIT N rCSS Agricultural building is defined a\11ows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, , or other horticultural products. This structure shall not be a place of human habitation or a place of employmre agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.O _ 3 _ Lfb _ O'7 1 ` E)D ZONING , 2� OWNER i , ,y l I; �1�/ V1 U YDS PHONE NO. S3O _g9S OWNER'S ADDRESS S VG Cal- LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE � 1 X 30 - �3 p SO FT TYPE OF CONSTRUCTION: WOOD FRAME —�<— STEEL CONCRETE OTHER (Specify) TYPE OF SIDINGI� WOOJ.� OOF COVERING � lA s, iv FLOOR TYPE woz)ol dt P".:+ ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and re a yard setback requirements of the applicable County Ordinances as follows: r r 1 r J D ` FRONT �j"— SIDES �� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank o� AG Buildings less than 1000 sq. ft. in floor area shall be located a minirr mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a mi mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor el USGS Datum. leach fields. of 6 feet from a residence, 10 feet from a m of 23 feet from a residence and a must be at or above elevation I declare under penalty of perjury that the building will be used as stated abov AG Building definition. If any change in use or occupancy of the building is ma obtain any necessary permits, inspections, and approvals to compI with rei occupancy. It Date �p 1 DCS Signature of Owner and the purposed use confirms with the i1I will contact the Building Division and ements in effect at that time and before Permit Fee - $60.00 The above described AG Building is exempt fr m a building permit. Receipt No. �Z L13 q3 2-->F,. PAROL P. ROOFJNG ISSU F I V Manager Building Division V 12 By Date fv v White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant I '�1`r�� +�'�v ^T•�iir+ .,s." � �7 �•'�.r�-.��1iCl'�Y`.. COUNTY OF -BUTTE - DEPARTMENT OF DtVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMITAPPLICATIONDATA SHEET OWNER: '/%► I1►4r, Y1CAAe4-,,, ,1 -S ASSESSOR PARCEL NUMBER: 6 3 - V C> % / Proposed Building Use: _ /�5 /3•.l d e) Building Inspector: Date: l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: -------- Date Received By 1. All items have been submitted .----------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans.-----------------------------------------------------------. ❑3. Complete plans, 3/4 sets, signed by the preparer ofplans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review):No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ------------------- --------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. -----------------------f ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112. ------ ❑12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------. ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit- ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval priorto occupancy). ---------------------------- J, 020. ------- -T----- ❑20. Pre -inspection for requi«ed Request to Building Inspector on - (Date) 021. Contractor's license information. (Number, Name Style, Clas'sification)----------- =------------------------ 022. Workers' Compensation carrier and policy number. ------ --------------------------------- ------------------ ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- ;. ❑ 28. Existing violations and/or expired permits. ------------------------------------------- w.. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . .----- ---------- ❑30.Other: When you issue the permit, process as follows.,!�ail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at o ❑ De er with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date--V-By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: 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. BP043184 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: 11/01/2004 APN: 063-040-071-000 the Business and Professions Code, and my license is in full force and effect. l�.�,073 License Class : G3 License Number: pJ r Site Address: 5196 SCHOTT RD FRN Date: � �_ � LL Contractor. i'OI.1� S�(.rO�i3 J Ma Index: p Description: RE -ROOF (22) OWNER -BUILDER DECLARATION 1 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. AUGROS COMMUNITY TRUST 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 AUGROS WILLIAM8r CATHERINE R the Contractor's State License Law (Chapter 9 commencing with Section .A 7000) of Division 3 of the Business and Professions Code) or that he or TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any PO BOX 130 violation of Section 7031.5 by any applicant for a permit subjects the FOREST RANCH, CA 95942-0130 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' 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, Applicant: FOUR SEASONS ROOFING 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 #11 COMMERCE COURT proving that he or she did not build or improve for the purpose of SUITE #1 95928 sale.). 530-895-0418 ❑ 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.). Contractor: FOUR SEASONS ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code #11 COMMERCE COURT Date: Owner: SUITE #1 95928 530-895-0418 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 License #• 659073 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. PC I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carder and policy number are: Carrier: 196sz— Z`Z Policy #: O Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. j Date: l ` (— 0 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 i hereby issued under the applicable provisions of the Butte County CodR 2nd/Or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for Which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ` Name: By: Date: Address: PER E) PIRES ON: Date LII 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 form or document of Butte County. I hereby authorize representativgg//sll,^�oI Butte Founty to enter upon the above mentioned property for inspection purposes. n' Print Name: l ( D-�J Signature:r/ Date: ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name G irst Name / Address `J G / S_) 0 G b C.�1'� Address Cly tome State CJ�r �✓ G Phone _ Fax E-mail APPLICANT NAME CONTRACTOR Name "t Address (l CQatM> ,ai City Fax StateCA- Zip��� -Phone-0 Lot # -Fa E-mail Date Approved: Lic.#o73 CIas3� APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail AP LI ANT SIGNATURE X -4El PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number A Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: Description or Scope of Work: Sq. Footage 0 Structure Built without Permits 0 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 OVER FOR SUBMITTAL REQUIREMENTS LL K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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: 6� Amount: 13 ! - Bldg SRA Receipt #: g4' IQ- Sheriff Date: 1(. ( D4 SMIP Other 3 7 � 5� Total REI/ 7-27-04 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 F0RMS113IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply folia 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 faxesl ❑ 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). ❑�_3—S.anitatior -and-site plarLapprovalfrom-the En ronmental-Health_Depadment. 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 F0RMS113IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 v W 0 N 0 ZI 51/E J W 0 N 0 MISCELLANEOUS ADDRESS BUILDING RECORD DESCRIPTION OF BUILDINGS PARCEL_ SHEET OF S HEE TS Bldg. No. Structure Sire Found. Roof Wo/I A Exterior Type Cover Floor 8 Interior Detail Second Story or Loft Year Est. Tot. Built Life Yrs Z Za . SIo "VC -_f s pp0jb������ N ./ A1 l f . WTI 0en • •FARM -_-� I/J�ffrL,., m ♦ i-__-_- 1wromits w -r��_-- COMPUTATION Appraiser -Dote ffll�& pp0jb������ . WTI 0en • •FARM -_-� I/J�ffrL,., m ♦ i-__-_- 1wromits w -r��_-- / RURAL PROPERTY APPRAISAL RECORD / Ai)ORESS / /1-k C' 7/� C, . PAR. to �' O �i — 7/ SUBDIVISION SCH. DIST. Pr.SEG'I � 1. La -2_ COMM. TWP. �� RGE. °jS BLOCK Acres � OisT of /1 Year Appraiser 'Dole .Structures Replacement Cost �Struclores R.C.L.N.D. Land Value Tree and Vine Volue Land and Improvement Total Capitalized Earning Ability Indicated Sale Price Listed Price Total W lue R. E. Land Value Structures W/ue Tree and Vine Values Land Structures Trees and Vines Total ■ e vj 19 1 /9 1 19 1 19 APPRAISAL ASSESSED VALUES 19 19 /9 1 A. P. N. Be" I Pogo 1 ►orcl SHEET OF -3 160 Use Code: 161 Soles Area Code: 162 Appraiser No: 163 Incomplete, P.U. 19............ 164 Zoning. 165 Zoning Conformity: Yes ❑ No ❑ 166 Use Conformity Yes No ❑ 167 Bldg. Class: 168 BR: 1❑ 20 30 6Lr_] 5 169 Bath,: IQ 20 3 1/: 0 ❑ 170 Base Year. 171 Area: ! .. 172 land Type: lot ❑ Acreage [D 173 Garage: Yes ❑ No 174 Pool. Yes ❑ No ❑ GENERAL FACTORS - UT/LlT/£S TRANSPORTATION ROADS CL/MATE WATER ElectricIM-way U.S. No. I Cement Temp. H. L. STORMS QUALITY QUANTITY Cum. Water Cu. Gas I Hi -way Calif No. Asphalt Hum. H. L. I Moderate Excellent Am le WELL Domestic W. County Highway Desert Mix Fogs - das- I Severe Average Limited Depth ll. LOCATION County Rood Gravel -Dirt WINDS PRECIPITATION Poor SOURCE Litl t/ Miles to /own Branch Road Medium Rain Boron I vity lFlow inches Miles to school CONDITION Strong Snow -Hail Sall I Irrigation Dist. lCostlinch Mi. to shipping p! I jGoodAve0., Poor TRANSACTION RECORD Muruo/ Woler Co. Cost oc.l►. $ Dote R. S. I Tr. Deedv COQ Sell • r I Remarks Year Appraiser 'Dole .Structures Replacement Cost �Struclores R.C.L.N.D. Land Value Tree and Vine Volue Land and Improvement Total Capitalized Earning Ability Indicated Sale Price Listed Price Total W lue R. E. Land Value Structures W/ue Tree and Vine Values Land Structures Trees and Vines Total ■ e vj 19 1 /9 1 19 1 19 APPRAISAL ASSESSED VALUES 19 19 /9 1 A. P. N. Be" I Pogo 1 ►orcl SHEET OF -3 160 Use Code: 161 Soles Area Code: 162 Appraiser No: 163 Incomplete, P.U. 19............ 164 Zoning. 165 Zoning Conformity: Yes ❑ No ❑ 166 Use Conformity Yes No ❑ 167 Bldg. Class: 168 BR: 1❑ 20 30 6Lr_] 5 169 Bath,: IQ 20 3 1/: 0 ❑ 170 Base Year. 171 Area: ! .. 172 land Type: lot ❑ Acreage [D 173 Garage: Yes ❑ No 174 Pool. Yes ❑ No ❑ b� LAND VA L UES Nut OWN MirIMMEMN m mm mom Fam mm mm TREES VINE DATA TREE 8 VINE VALUES :m m mm mom Fam mm mm :m _ ( ✓.its 5 CONSTRUCT L 1�hl I I /leov v Insuloled Wolls Screens Comoo. Shin le I loos I lElect. OroinBd. Molerii W RECORD EFFEC. APPR. NORMAL ;L GOOD RATING (E, G, A,F P) Amount Dole YEAR YEAR A e Rpmoing Tao/e % Cond. Arch. Func. Icon lora eS ce Work- Age Life Attr. IPI&n I form. upbd /osel reship F/cors ,Ir. COMPUTAT--1,0N r_..-.,-. l[gth: K Fl. JSp/ash: 2111 BATH DETAIL ISH FIX TUR S I SHOWER Wo/ls PVc.VarubJ Type [ Grode f. Q Finrih Appraiser d Dote Unit re J_n9ls __ FOUNDATION Adobe Ht-51ULN I IAL. HUILUING KLGUKU PARCEL - -- -- Mont specio/ '2 ` C"�1—�'TrTi 3� �""T��r l 111 L. S 9,6 GZ X.r Concrete floor.Jois l: -x '- I dd . r 4 e.. i Control•• It ADDRESS D v St'/EET „2 OF ---i=—,.__cKSETS Duplex--- Reinforced lit r 'x m o DESCRIPTION OF BUILDING --1i:;r 7 / r r T R. CLASS@SHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING /R CONDITION ROOM AND FINISH DETAIL r Good f2 _ Light - _-tFrome Stucco on f/ol a Pilch Wir%R9 Hof/nq Coolin OORS FLOOR FINISH INTERIOR FINISH Shake y /( ROOMSSub-Slondord Gob/e K.T. Conduit Foced kLlni TRIM 8I 2 Molerio/ Grode Wo//s Cei/in s ARCHITECTURE Stondord heo/Ain Sidin Hip / "." Bx Cob/e rovity Humid All Mole/ pile _Above•3tondardoncreivBtock D.H. I Icosement, rile Trim /Yo/er/leoter SAtd / FixturesStories Jpeciol S e. T. C G I CO Up ferr Cheop fnl. No// - j; - US TYPE eric•A cl.:n i . n,. e.. A..- .. �:.._ _ ( ✓.its 5 CONSTRUCT L 1�hl I I /leov v Insuloled Wolls Screens Comoo. Shin le I loos I lElect. OroinBd. Molerii W RECORD EFFEC. APPR. NORMAL ;L GOOD RATING (E, G, A,F P) Amount Dole YEAR YEAR A e Rpmoing Tao/e % Cond. Arch. Func. Icon lora eS ce Work- Age Life Attr. IPI&n I form. upbd /osel reship F/cors ,Ir. COMPUTAT--1,0N r_..-.,-. l[gth: K Fl. JSp/ash: 2111 BATH DETAIL ISH FIX TUR S I SHOWER Wo/ls PVc.VarubJ Type [ Grode f. Q Finrih Appraiser d Dote Unit re J_n9ls __ FOUNDATION Adobe J6okes I - -- -- Mont specio/ ..,.,,.Y zone//nil Dinin ISL Jr J. JX44 67116131,r nlI Cos! U^II Cost Cost os Concrete floor.Jois l: -x '- I dd . r 4 e.. Gullers Control•• It L E N L N ( ; , I � 3�wS6 Duplex--- Reinforced lit r 'x m o PLUMBING A WALL R.P. c. Bed yLAS r r T R. Aporlmen/ B/iut 2'4: - Brick -Ain It r Good Bed Flat Wood Jub Floor Stone Shake Oi/Burner -� �� Court Piers _— 5.�� WINDOWS rile Fixtures boa 7.00 Mole/ pile D.H. I Icosement, rile Trim /Yo/er/leoter InsulatefCei1inq3IYAiAWojh I I Composition Avtomobi: 1,11 fireplace /'i,...,I Kitchen 1e -net I I — n _ ( ✓.its 5 CONSTRUCT L 1�hl I I /leov v Insuloled Wolls Screens Comoo. Shin le I loos I lElect. OroinBd. Molerii W RECORD EFFEC. APPR. NORMAL ;L GOOD RATING (E, G, A,F P) Amount Dole YEAR YEAR A e Rpmoing Tao/e % Cond. Arch. Func. Icon lora eS ce Work- Age Life Attr. IPI&n I form. upbd /osel reship F/cors ,Ir. COMPUTAT--1,0N r_..-.,-. l[gth: K Fl. JSp/ash: 2111 BATH DETAIL ISH FIX TUR S I SHOWER Wo/ls PVc.VarubJ Type [ Grode f. Q Finrih Appraiser d Dote Unit re n/t Cost goni.1 CostUnit CostCost ^1I t� �r> Cost S �o ^II I Cosln/I Cos/ JX44 67116131,r nlI Cos! U^II Cost Cost os Gid s. G Vo o /� a9.30 3�wS6 i m o 3 o v e1p D Dl7d - D -� �� i 5.�� 2' C boa 7.00 /1 pile o S /� /G 2 76 yG /3 7 UiI TOTAL �/6 9y C • i 'l [ 6D rY S S2o NORMAL % 0000 y, 6 8 *ADDRESS �"•`�'7 MISCELLANEOUS BUILDING RECORD DESCRIPTION OF BUILDINGS PARCEL . --L SHEET ?- OF_-�— SHEETS Bldg. No Structure Size Found. Wo/I 8 Exterior Roof Floor 8 Interior Detail Second Story or Lott Year Built £st. Tol. Lite Yrs Type Cover i P a 19 �'w (... -- �-�,:r ✓ 1' i� r ���._.._ , . ATI! Cost �o r C o o - ..._l21.1Lr l'�r - - 6:,..'moi, _ 0 Y N --- c��, l•+ i� f r' UIR R C Unit L.N. Cost G 19 — — /0/o -- - r r B� + e � r� •� — - � -- -- /G J — CGMPUTA#l¢N , Approiser-Dote .? 19Cc 101 y tL 76 19 ` / = 19 19 Bldg. Area No. Unit Cost % o R. C. N. N Unit Cos, Cost °° Good C. N L N. Q... .,Unit .Cost Cosl % Good R C Unit L.N. Cost Cost �• CC.. N. Good L. N. D. /0/o -- - -- -- /G — e /SOD r` r i Total ,sem o,✓r r.41/ Appraiser - Dale 191' 19 19 /9 Bldg Area No. Unit CostTotal Cost % 'C. L. N. D. Un t Costost CGoodl % Unit costost CGood %R. Good C. N. Unit L -,N- DCostCost %R.C. N. All 531-11 n.•ar, SHEET - of BUTTE COUNTY PROPERTY RECORD NAME tde-y c/ vC OS (�!nm/m Assessment Fee Number Book Page/Block Parcel NAME SITUS 6 0 ZONING . I.v City ❑ County Assessment Year 19 19 19 19 19 19 UTILITIES -SITE IMPS. Date /o Electricity: Yes - Telephone Appraiser Gas: Public LPG None ❑ Use Code Sanitary Swr: Public Indiv. Dwelling Units Street: Conc. ❑Asph. p Dirt ❑ Gravel Building Class Street Lights: Yes ❑ No Bedrooms 12 C & G: Yes ❑ No Baths /,60 Sidewalks: Yes ❑ No Effective Year SITE TOPOGRAPHY Area of Residence Level ❑ Rolling Other ❑ Car Shelter Yes M No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No E3 Yes ❑ No ❑ Yes No p Slopes: Up Down S -S E3 Misc. Buildings ±)v At: ❑ Above 23 Below Eprade Pool Yes t3 No Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No ❑ Yes ❑ No ❑ View: ❑ Of: ,IyVPhy. Char. Checked - Checked Checked Checked Checked El I Checked Ej WATER MARKET DATA GPM: Depth: Comparable 1 /-Z--0:3 Public ❑ Well M Ditch 0 Comparable 2 -/7p -61 Supplier Comparable 3 Aerial Photo Year Sale Date/Price doo Topo Map Year PRIMARY BASE SECTION Soil Name I Index I Acres 113aseYear /meq Avg. Soil Rating I _ I SECONDARY BASE SECTION LAND REMARKS: I Base Year Size: REMARKS .'��1� PRIMARY LAND VALUE COMPUTATION SECONDARY ASST. PRIMARY LOT H/S YEAR BASE YEAR VALUE SO. FT./ ACRES UNIT VALUE VALUE ADDED TAXABLE VALUE ASST. YEAR SECONDARY BASE YEAR LOT/HS VALUE SQ. FT./ UNIT ACRES VALUE VALUE ADDED TAXABLE VALUE PARTIAL OWNERSHIP CHANGE ASST. YEAR EXISTING BASE YR, EXISTING VALUE PORTION RETAINED RETAINEDH VALUE EXT. % I EXTENDED VALUE TO YEAR TRANS. DATE VALUE PORTION TRANS. TRANS. VALUE EVENT DATE VALUES LAND COMPUTATIONS " X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS GROWING IMPROVEMENTS X = X = X = G/I LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS GROWING IMPROVEMENTS X = X = X = G/I LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS GROWING IMPROVEMENTS X = X = X = G/I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-040-0714 ZONING BUILDINGPERMIT OWNER SO. FT. OCC. BUILDING VALUATION . OWNERS MAII ADDRESS m r EMRMCH3? CA 9-596-2 CONTRACTOR'S NAME TELEPHO -79 olO CONTRACTORS MAIUNG ADDRESS 1294, MARVIN WAY CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 511-96 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME 1125 "qAC PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ubli6es ❑ Installation ❑ Other ❑ Describe Work: 'ItT� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF—. ---(920.0 0 PERMIT FEE $ �NOW I �t, = 288 �Y1-� 5�1�1-�'� . ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A ORR LESS LESS 23.00 23.00 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. Z l ^ License Class � Lic. No. / OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ;z I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with those provisions. X DCS (, Date (p -�r� --�% / Sign ure f Applicant - ner X Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 8 ACC. BLDS. 3.50FT. ppN qR ' MULTI -OUTLET r?G 7.50 POWEA APPARATUS a SINGLE oLmFT cIR. .00 EX. Occup. OUTLET OR FOMAES BAL p I.50 FIXI Ex. Occup.,OUTLETS REESID °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE_ PERMIT FEE $ 2300 ' MECHANICAL PERMIT F 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2 D FEES IMP X D C PARCEL X PD NO ISSU This permit is hereby Issued under the applicable provisions of the Butte County Cod and/or Resolutions to do work indicated above fo whic fees have been paid. By Q Date 'z O PERMIT EXPIRES O 7�y QZ/ Date Receipt No. .D WHITE-D.D.S.-B.D. CANARY)ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT / `•- ~ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -1/ 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 1 PERMIT NO. -Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER�i•� JfO ^ �� v 7 ZONjING 11-M 20 BUILDINGPERMIT OWNER TELEPHON zq SO. FT. OCC, BUILDING VALUATION SAI OWNERMLING/ �IE / S V C C CUMRACTOR'S( NAME (foRek-_ •A ti -se d s c o1J TELEPHONE 8._ 9 S Z CONTRACTOR'S MAILING ADDRESS z9 W,9 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ✓ Fireplace Total Valuation is ARCHITECT OR ENOINEER UCENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENOINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADORESS 5/5'4 ' `r% Energy Plan Checking Fee $ $ PERMIT FEE i IDT No. SUBDNISpNB NAME PARCEL, a 2 _ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF/Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 �il eG d yii Mobile Home ISI GI W1 @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 f OOOV ORLESS Main Service .A DRLESS 23.00 k) LOA b::-- 2,OM -re) Main Service 200A TO IOOOA 46.00 NEW CONST. / DWELLING OCCUP. OR ADONS. \ d ACC. BLDS. 3.5Q so. FT. �j NEW CONS . MULTI.OUTLET NON•RESIJ. 8 POSWWER APPARATUS OL.E OUTLET CIR. @7,501 Ex. Occup. OUTLET OR FDMRES 20 1'0° BAL SO I I FIXED APPLNS. OR Ex. Occup. OUTLETS REBID. EA 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 I Misc. Wiring 23.00 !3 PERMIT FEE $ / MECHANICAL PERMIT Fling Fee 20.00 Heating 9 Cooling 2 Z / r 1 I -(o c_2'1 rj 7 �^ 1 Hood 6.50 M • Ventilation �1Q g 20 PERMIT FEP_ S / Mobile Home Installation Fee $ Energy Inspection Fee $ (� °C LOST TYPE TO''AL FEE $ —T—�M-- FEES IIFLOOD CDF ND 4SUE • O• I � I I p EL I 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 i PERMIT EXPIRES ON Dare COUNTY OF BUTTE - DEPARTMENT*OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.) 2/96) APPLICATION AND PERMIT b 1-1 -e,- - ASSESSOR PARCEL NUMBER D�3oo ZONING - BU I LDING P ER M IT OWNER; I` �� NE Sao TE18,7,5--9,RC17 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRES Ro . $ox 5 s QT \N rp--`�S� F CONTRACTOR'S NAME TELEPRONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER N o e Fireplace LENDER'S MAILING ADDRESS1 t 1" Total Valuation $ ARCHITECT OR ENGINEERs SO N� 1� LICENSE N N Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS N Plan Checking Fee $ BUILDING ADDRESS,,,,, _d__ R� • 1 ` Energy Plan Checking Fee $ Gt �_ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMITI ing Fiie 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodelx Utilities ❑ Installation ❑ Other ❑ Describe work: REMODELREMODELnN EXISTING HOUSE WALL CHANGE AND ADD PATIO WINDOWS --KITCHEN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (9] 20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 2DDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license L,Qw,Vr the following reason: $ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service sow 46. 00 NEW CONST. DWENG OCCURSG DWELLING CCU so OR ADDNS. ( s ACC. BLDS. 3.50FT; T. NOON-ROESIIDD. MuLTI.OUTLET @7,50 PSO PPARArus 8 S INGLE AOUTLET S Ex, Occup. OUTLET OR FVrURES B20 Ex. Occup.. GuED�A R D °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of ­a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortAith comply with those provisions. X ��✓i(•� Date (19 Signature 0 Appl ant -Owner ❑ C actor 13Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in Vight. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ c T. TOTAL FEE $ 457.25 D. FEES IMP 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. By4ZA4�:�ate CZi O Pa PERMIT EXPIRES ON Z e ReceiptNo. J` I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive's Oroville, California 95965 • Telephone (530) 538-75 1 PE MIT NO. APPLICATION AND PERMIT �i-�55 ASSESSOR PARCEL NUMBER 2, % ZONING BUILDING PERMIT OWNER TEl®HONE SQ. FT. j OCC. BUILDING VALUATION ow S LING CONrRACTOR'S NAME TELEPHONE l i//1(12/�/'O `^� / CONTRACTORS MAIUNG ADDRESS / CONSTRUCTION LENDER /l - - 7 - Fireplace LENDER'S MAILING ADDRESS Total Valuation $ =- ARCHITECT OR ENOINEEA LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ euILOINGAooREss Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONSNAI& 11. L fl PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTHUCTURE — Solar or heat pump water heater 23• SF Duplex ❑ Mobilehome ❑ Other Water piping 15.00 sP�wy Each as/Water heater or ve 15.00 TYPE OF WORK Gas piping stem 1 - utlets 15.00 New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other ❑ Building sews 15.00 �� <4'A Mobile Home I S I GI W 920.00 Describe Work: Wit rl4e, c e f� VJ �f �' /C t PERMIT FEE $ ,f 11/1 f Q ,�% /LLQ l4/1 t /lam ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�o.Aoa.ss 23.00 Main Service YOGA TO 100DA 46.00 NEW CONST. DWELUN° OCCUP. 3.5t FT., OR ADDNS. & ACC. BLDS. FT. NEW CONS . MULTI.OUTLET NON•RESID. @7.50 • �✓ POWER APPARATUS , & SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES SAL 4 1.00 .S0 FED Ex. Occup. ODUTLE S AESIS1D.°eA 5.00 - Temporary Service 23.00 :,� 'x; . �• r I'� �� {{{ Mobile Home Facilities 20.00 r ISI Misc..Wirin 23.00 PERMIT FEE t CIS MECHANICAL PERMIT Fling Fee 20.00 Heating ! Cooling I H 6.50 Hoodd Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ °C CONST.TYPE TOTAL FEE $ • D. FEES i IMP FLOOD CDf PARfEL PO HDI 6SUE I i i i � I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _-- �� PERMIT EXPIRES ON _ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER -.W,)) It 01 2, rcZS ASSESSOR PARCEL NUMBER: �� 3 — 0 — r `DD a Proposed Building Use: Building Inspector: Date: At time of permit application,! was advised the following data must be submitted prior to permit processing and%oi lssuamce: Date Received By ❑ 1#4. All items have been submitted.------------------------------------------------------------------------------------ Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------- /-�___-• Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ p10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------. ❑ 14. Sanitation and plot plan approval Health Department. Ell 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval.from the City o Biggs .-------=------------------------------------- t44 ❑ 17. Planning approval forA) Use 1 � �17 j �(B)� Parking -------------------------- ❑ 18. Contact Land Development about ❑ Improvements,y ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. ---------------------------------- ------ 025. Recorded copy of Agricultural Acknowledgment Statement. --- ------ ❑26. Letter of intent on building use. ------------------------------ ------------ El ----------- -. ❑27. Manufactured Home utility clearance. ------------------- ----- A— _ __ ❑ 28. Existing violations and/or expired permits. --------- - ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check t H.C.D $ 030. Other: When you issu rmi "r�"HowsC]Mailtoo wner ❑Telephone and hold for pickup at Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: (Date) Deliver with inspector. V YOS Date: & /CPZ c1100% Da By: Date: By: 1. Index permit application for the above items numbered: /�40 I A14 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the ove , ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by Date Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Division counter, by D te: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bu' kDivision counter, by D te: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: v Date: vPiin.0 rn.,., - nP„„+,.,P„f D..aa:--^. =-=-- 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' vement , YES NO C32. I HAVEHAVE NOT signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (Srm) to.p;Qvic C. the, proposed construction: NAME: ADDRESS: CITY:_ PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: �NAME -�- ADDRESS ,6,eb PHONE TYPE OF WORK le. 113 ?�az�ardph.Oyo,,;Il-e a- ss9-4as? 'i (e ('N 61 --VA, e ►�S'} aq 41�i4�vii� Chico 4 SaD 1t e e M lw ct rI- x ON g- WeAe 301Q hes:o(C, w 50'--576- wal� r 2 C��eLS� 941Cherr �tC'C�c�QS'ia� 53d -343 -?93 ¢P° ao",rS 075, a �; bu y to fro i e�c� v -530--,?)4a-33-41 --Ys m l t -v CDt�V�T,ech l�-N eau � � a , , �s� 4 � 53t7- � 9 �P-b 7 6 ! `8r � ck p�Y✓ers SIGNED. PROPERTYOWNER: 94W�4 IqUq,� SOCIAL SECURITY NUMBER: DATE: (P /a� cP- / 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 offlce before we are permitted to Issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-buildee, 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 aro 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 yod pied to do{yournr own work, with the oweptlon of various trades that you plan tdsubconawt, yob should be aware of the following information for your benefit and protection: ' ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (inchtding*n�iterials and other costs) is 5300 or more for the endre.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. ' A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. ' Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +Magg'er.,'BAuilding B.O. spection NOTE: This Owner -Builder Information is required by Section 19830 of the CaWornla Health and Safety Coda OVER PRE - OWNER: LOCATION:1 CONTRACTOR: 0 044, PRE-INSPETION FOR REPORT DATE:. V lr _ . A.P. ZONING: DATE TO INSPECTOR --__y / PBRwr HISTORY:( ) NONE ' (�fAS FOLLOWS: �Ari/j� Building Description: Electric: BUELDI IG INSPECTOR'S REPORT Coauaa+cial/IJsage: . Residcn iaU# of Units: — Currently Occupied Abandone&Vacant Yes___X__ No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working_ Well Working_ (^ (6 Potable Water Obvious SewageProblems_ ttA.) Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR -�� 4 -Le- o,,L iQ Q qJQ Inspector. fo /` a /o/ Date_ ! Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County -Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT Nc -Rev 12/96, APPLICATION AND PERMIT ASSESSOAPARCELNUMaER 1 /-/<z) _ -7 ZONING BUILDING PERMIT OWNER /-,����• ��� ".,�� �`/ SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNO ADDRESS _/ 6 S �I�P/� /� ���d✓tr Service 23.00 CO NT A'S MIME _ ,)It-- (f.Ae q__ CN TCLEPNONE _ Misc. Wiring CONrRACTOR9 MQUJIM ADORE88 CONSTRUCTION U=NDER LENDER'S MAILING ADORE88 \ Fire lace I, Total Valuation S " ARCNRECr OR ENGINEER - LICENSE NO. Filing Fee - b 20.00 Permit Fee b ARCHMECT OR ENGNNEWS MMUNG ADDRE88 ' Plan Checking Fee b BUILOINGADDRESS ,5AI� r7- Energy Plan Checking Fee b b PERMIT FEE $ LOT NO. sueory®ION9NIM PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFDuplex 0 Mobilehome O Other - SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition 0 Remodel O Utilities O stallation O Other E3 Describe `Work:w eW � Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Main Service -...V.0--.:: ozoovwoR LEss oR LEss Main Service 200A TO IOOOA NEW CONST. DWELLMO OCCUP. OR ADONS. 8 ACC. Al D3 ) ng Fee 20.00 23.00 2 46.00 3.54,0.± @7.50i Ex. Occup. ouTLEr OR FxwAEs eZ 1Z, '.� Ex. Occup. Oury rsl (R,,o,oEw 1 5.00. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S - MECHANICAL PERMIT Fling Fee 20.00 in Cooloolin f , 7 Hood i - 6.50 • Ventilation' I 'PERMIT FEIE S Mobile Home Installation Fee b Energy Irl'spection Fee b ' OCC ' i'coNsr rYPE TOTAL FEE $ MA: , 0 FEES ; IMP ' FLOOD I COF i PARCEL PO i NO ISSUE This permits hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work iindicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dem Keto r-6 �( c,f cuxcn„ &A !lt 04 "--.> Cp"� L+ mat X, 5 d/\A� S.F vD- C- UAp-k. StL d-7 C/YL� C7,% OWNER: 1 kjP �`�P �1 t� ISI vt.� Ff�� DATE: q (� LOCATION: `j 1� (��_,^eS+�� A.P.#: CONTRACTOR:/ ZONING;7rm a('"7 DATE TO INSPECTOR: PERMIT HISTORY: [ ]NONE [ WICS FOLLOWS: (Er U ah= TD TYPE OF OCCUPANCY: ng Description: [ ] Commercial/Usage: _ [ ] Residential/# of Units: [ ] Currently Occupied. [ ] AbandonedNacant. [ ] Yes [ ] No Electric is currently : [ ] On Condition of electrical? BUILDING INSPECTOR'S REPORT 6L)A,-Jed V -V C [ ] Off Mobile Home: Yah[ ] No[ ] r Natural[ ] Propane[ ] None[ ] Currently On[ ] Ofd ] Obvious problems: itation: Plumbing working Yes[ ] No[ ) Well: Yes[ ] No[ ] Obvious Sewag Problems: cription of Damaged Area: Potable water: Yes[ ] No[ ] timate valuation of Damaged Area: r: 0-00 Date: Le k if 11 RAIN �A TOTAL 3'&900160% pAiVt- IN 'IPA a b 94:f. AW Aft to 40050 IT I', y iA tta _F DF ICER , RE33ORT,JlME­` mcce-0 No- t, -4.0 -;`,;JF* !1..,r. , - v CP17! tttt+yc14t CASE NO FIRENO,: Ro VEGETA nom FALSE STRUCTURE ropwvt�:, ASSIS�, ASSIST Room.. PHONENO Neu WRA Ell - VEHKXE HAZMAT Agi so DAMAGE SAVE TIC 10ER W-CCENT No 1�q CAM R.O. xo, 't-. 'ir A v., tl VEGETATION. Z' I FALSE 1.STRUCTURE PHONE NO r0PROVE_ FtEr MENT WRA VEHKXE HAZMAT! MEDrAL OTHER -CAUSE -.UU�b E: DAMAGE SAVE VM"k _ {REFUSE HAZ-OON 4— TIC 7 REPORT TIME lNqDENTNo L OGGED CASE No FIRE NO PO.: dj VEW FALSE ALARM, Meda ASSIST PHONE NO STRUCTTjRE PAPROVEa_ E, A, MEW. :,%-* ym 9.L VEHICLE �q RIO— 77M LANDUSEtOAMA GE SSAVE REFUSE VC REPORT INCIDENT NO -LOGGED IV_ k .yt. 3iCASE NO FIREND Our A. 1A WKIETAT ASSOti PHONE ASSW--l' Y, REFUSE If TPC 1 OFFICER .. 1410 NO 1pppp 31q -CASE NO:.,,: F R '0 :rW.;; - "I FALSE MART-, ASSWR.�& Nopr PAPROVE., A_SSW. AGSCUE_ 1'4, N MEDICAL,',.'*4, 2. pp RSAVE SrY W MAZICOW­ a JAC. . '4' (ell 316 Mo tit. . w, pnepoi� s. dA f'o�S w/a/6/ U v3�-e.�.° I'e`n'b �D� .tP.u�s�.Q.D Sax -' - Z. - Y ,t� f—•^ ".'r` - •' .Y,w-Z it ♦.k +T R,•,yf_ • -.. w.....ww+a.vwar.Ybfr•.w..rM... 63-04-71 63-04-71 GARY & ALBERTA JOHNSON =� Gary &Alberta Johnson ' 1000, off W/S Schott Rd, E Hwy 32�FR 1,000._! of€-W/S-Schott-Rd', app Special Inspection ��27-82 E. of Hwy 32, For Ranch } _ J--- 63-04-71 JI- GAIL N 10 0' �f€ 6� S Schott Rd, --1 mi- E of Hwy 32, Forest Ranch Permit#3070-82B,P,E,M(convert storage bldg to food process ing)F1041 - - - , f�l � '� 1 ir`+�, my Gam, _ M • .. -• _ Y y`I - i \ �. "` � =i:r r'.y.5•'+ :• r `�`^iy, sad' a'C '.'1i y �: y , 3?. _ ,�ri�,�d �. r „cr} l l ii''-- .p, a �F 'i.! fit' 2f' ♦ .; , �' t� ., v 4 ' PLAN -REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: G Received By: Y � Date: •z A.P. #: (c,3 D Permit #:44' / . Time: t X( ContactPhoneNumber: W95-15 9 2 - Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering ❑ Plan Revision S Requested b Buildin71�g C 9 Y g Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner - Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings rr►»st c changes nred on and to lions involved. learlcy hr,Lw When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑ Call � 9 �-� Z Z � and hold for pickup at the ❑ Chico Office Q-0—ro—ville Office ❑ Deliver with next inspection. Revised Plan Check Fee: ❑ $46.00 Receipt #: Additional fees may be due based upon complexity and Additional Fees Not Required P ty time involved to process this submittal. Additional Fees: Receipt #: CX QoA��V�%%R- �� -I- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 WILLIAM AND CATHERINE AUGROS 5196 SCHOTT RD PO BOX 130 i'fJREST RANCH, CA 95942 A.P. # 063-040-071 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: SEE ATTACHED Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. very t , is el C. Vieira, C.B.O. MCV:ahb Man ger, uilding Inspection During a recent fire damage and electrical service pre -inspection, it was noted that there appears to be a 4 car garage addition to an existing garage, and a remodel to an existing single family residence, both without building permits. The remodel appears to be under construction at this time. Please apply for the appropriate permits prior to issuance of your electric service and Agricultural Building Exempt permits. COUNTYO.F BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: �/ A. P. # Y 6�p V 0 ~ �� With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: ,4.05 Should you have any questions concerning the above, please contact of this office. WC.1 LC.B.O. qMan a, MCV:ahb g Inspection V,V OWNER: DATE: q 1 C� LOCATION: '25 rd A.P.#: (9 (o �3 --Qct --a CONTRACTOR: ZONING: rr i ,Lc DATE TO INSPECTOR: 03 PERMIT HISTORY: [ ]NONE [ t4les FOLLOWS: 0,6-A U aj�a, -(ZJ TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT ig Description: i3L)A,-JeJ [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Ya [ ] Currently Occupied. ] Abandoned/Vacant. c: [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? Natural[ ] Propane[ ] None[ ] Currently On[ ] Offj ] Obvious problems: itation: Plumbing working Yes[ ] No[ ] Well: Yes[ ]' No[ . ] Obvious Sewag Problems: cription of Damaged Area: n ] No[ ] Potable water: Yes[ ] No[ J } ate valuation of Damaged Area: O-0 Date: G//2 S/� RAIN a .ry s - - xTAL r ' Y , � , Ci1M 60b bAiLv INbiblikt E 4 dAY;0ft To 080 1. i W q; OFFI;m • REPOR , TIME l�DBR PIO ` LOGGEDBy l • CASE NO FRE NO R.O < . A�A ASSISI'i.k� r P F410PE N0 tALOqSSIST L!#Iksl} WRA BVEHICLE MEDICAL OTHER I'sc tAW WMAOE sAVE ;REFIJ&E TIC 1 Y h j t i i i STAT10t1 MBIxMII E t OFFICER I REPOTN `. f�DENT NO i 1000ED BY � 3 77 <t • FRENO ,R.O CASE NO r x r+ 1 / I I� I w , VEOETAiION FPUKE DAM ALSE ASSIST PHONE NO STRUCTURE MPROVE- ASSIST MEW LOO Y• r' O WRA e7 8.1. VE}ICLE RAMAT MEOR.AL OTHER •ai ..�' a a. y, t IV�C��: CAUSE LAW WE SAVE �RERJW- HKAON TIC .� - y' AMMAINNIM OFFICER ' REPORT TIME NCO9/T NO I)GGED s�lrl•� E`er yr '. ,• 1 �".,� � D p;' 7.' _ CASE NO, FRE NO R.O. dj TION . 'FALSE • � P /I/ ~►.,?r.o: y "1 1 PUBLIC tkw ALARM ASSIST ' (::17—. �� . STRUCTURE MENT • ASSIST ►YBtT L00 } ! WRA B.I. VE7 CIE NAZMAT MT�ICAL, OTHER MSI i NTc t LAND DAMAGE SAVE } REFUGE ,C f / INCIDENT LOOL3H� 1 srA OFFICER REPORT ij�Q' •' � CASE NO FIRE { RO stA.�i �' 1 OCA • � ., ,.. , , } 1 r y VBOETAT FALSE er PUBLIC j Y ALARM MOST., � �I' I I , „4TRl TURF IMPROVE. ASSIST, RESCUE ARt ��� I• fpr+ ,� MET J Lf30 `' r B1 rBIQE w1ZMAT INx OTHER_ Ifs; ,, uwDGL E SAVE REFUSE /� IC `s a t' �p J T .t! p .t3 AAIeIxMCE aFFICER REPORT TIME yp�O j ti J M s Nt 17 1 CASE NO + FRE NO I A. ! L TICK �"'j �, - "" 'a. - 1 - ,VECIETAT10N FALSE - pUg�DART ALARM ASSIST $; + Ito, F �/ V PHONENO. RESCLIE STRUCILIFLE pypRpyE• � rT UA MEW (`r2 wnA 9.1, vEM0.E NAZMAf MET]RJIL VSE - DAMAGE. SAVE i REFUSE NAZ•CON" i TIC PERMIT NO. 30707'82B-,P,E,M PERMIT EXPIRES X22 /Z 9 OWNER GAIL COMPTON CONTR. owner ASSESSOR PARCEL 63--;04-71 LOCATION 10001 off W/S Schott Rd, 1 mi E of Hwy 32, Forest Ranch Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Ae CalledPG&E JOB FINAL ED (Date) Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC ANI<S7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 3070-82 for the following: Use Classification Food Processi Address or Location 1000' off W/S Schott Rd, 1 mi. E of Hwy 32 Foresanch Group B-2 occupancy; f ype �-§ construction. It is hereby certified for the occupancy described above and may be occupied. Date 1/5/83 Director of Public Works B� POST IN A CODS ICUOUS PLACE (Over) J NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. G V = OK O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) - Not Ready ' Date UNDERFLOOR OK except #'s Date FRAMING (Continued) 1. Zoning requ frements-Setbacks-Easements ings 2. Ftg., Main; Poils-Steel-Elec. Grnd.- / /" Ftg. Depth E oors-0 -C 3. Ftg., Gara ; Soils Steel- / /" Ftg. Depth 50. e -Run -Landing -Fire Protection 4. Ftg., P ks; Soils -Steel- / /" Ftg. Depth r 5+r-Pywea"n Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemw a n; Steel-Blockouts-Wrapped-Slab 52r 6. Stemwalls, arage; Steel-Blockouts-Wrapped-Slab - ts-Underflr. Access 7. Piers -Fire I e Ftg.-Steel 54. - o Skylights -Plastic - way C/O -Sewer Test g=Bolts rs is chors-Regu lator-Sery ice Test 11. Elecl nderground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders Si s -Joists -Vents -Cripples Card -BI la Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date, ,S-_rZCard-BI Date Date FINA!,.�ns) OK except q's Card -BI Date/ ;� 2 Card -BI Date Date PLUMBING (Permit) OK except p's 6 s n Sir 14. ess=e6hTDUst°ion-kir 5 — ce—Comb. Air—Connector- In G is—Mech. Protection 15 Water Pipe; es Anchor—Nail Protection C W.V.; Test t Anchors—Nail Protection 1 1 or—Tub Access ath ares & Tub Access 18�est—Fnb-&-&#tower, 2nd Floor—Tub Access J ec. Trim & ubpanel; Breaker Size —L 19. Anchors 6 s -Hearth 6 anel; Int. & Ext. -Air Gap -Cooking Clearance Card -BI Dat -�SZi Card -BI Date Card -BI Date Card -BI Date 66. cies at Kit. Counter Date ELECTRICAL Permit OK except q's 67r -Swing -Landing -C loser 68 Dam r 20--frtxrnr-&-Transformer Clearance -Ins. Protection Htr.; VeRis-CI ce-6amb-Aiv-C t�S tedor- Inloor-Mech. Protectioneptacles %ST �+T-+�Spacing -Lights &Switches at Doors � Location . &.Equip. Listed for Location 2&- +Ee-Boxes & No. of Conductors -Stapled P8+-Rvmur nstalled Close to Edge of Studs & C.J. gds F.I. ) Protec. P4.-E4u4a._ r and made up w/Mech. Fasteners -Bond Gas & Water ceam -eeked=in-A`ttic_._®Yes 2 en &Conductor Size 7 nstruc+on--Rost Caps Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or Al 1 Hole Door -Drainage & Wood -Earth Clearance L ❑ Yes Cu or AI—Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75, FeLlewiag-iasadde Drive E3 Yes ❑ No; Walks El Yes E] No; Plant::c f-lyac I INo 98__S'� ^ _er Conductors & Ground—Main Disconnect 76 h 2 s; Panels—Motors—Mech. Equip. - nces—Brkr. & Cond. Size -115V Outlet 30-1C1IIttrer64eset Light—Shower Light 7 ents Above Roof; Rlbg—AooliangazZirPol—ZlaaraaGe t, opngs, Electrical, Plumbing ' Receptacle—Underground Card B -I Date—,S'47_ Card -BI Date L� �� entilation thF Card B -I Date Card -BI Date n Date MECHANICAL (Perrr.it) OK except N's 8 us Inspections ged�as—E lec tri c 3 n &Support Sewer Connected—C/O to Grad al Vent Fan; E%renet.e ve-tnstrlaTion ical Other i tca _ 3 ; Size & Grade 3 mb. Air—Return Air Vent -115V outlet Platform if Furnace in Attic Card -BI Date I Card -BI Date Card -BI ---Dat?-r? Card -BI Date Card -BI Date Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs—Nailing, Spacing & Bracing—Plates—Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) ��- - 40. Fire Stops; Furred Ceilings—Stairs—Chases—Tub 41. Header & Beam—Size & Bearing 42. Hangers—Post Caps—Anchors—Connectors V43. CI_ng. Joist— Rft_r. Ties—Purlin—Roof Brac.—Truss—Shthnq.—Rfng. 4 e—Fireplace Throat OC14tf 164` ic_-Assess; Size & Ramex Protection—Draft Stop—Ins. Baffles - ---47 4 — Hgt. & Dimensions G-29® Ed c o ,e ^ c." ing (NOTE: Anentrymust be made each time youvisit jobsite) V = OK O = 'Not OK - = Not Applicable •MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's •1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI, 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10• Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date v r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -?v 7v- k a BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, �pTcontacLthis office immediately. am Inspector > Date��� "/��Z COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS 7 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need dditional explanation, 'please contact this ff-ce immediately. — J,/ 2i0 fd D�.�.�=y //-t s--P� zo /,, Al (7/1 <o; IVC d( O Olt lez � J .5a.a'W'r tfi� i" iG /' �!'r I€�1' ca•v J '�-Uf �%.Cydi �� ds► �,.r�� � � `f(�i �,�� � Q�` �'f� U�/7�i ��v f Inspector Date Cli ) COUNTY OF BUTTE DEPARTMENT OP -PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Orovi Ile —Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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- r, or need additional explanation, please contact this office immediately. cd R &j %' ,419 - IV — /,c.- T c��� Inspector Date/�-" — Oill ✓err_.-; 1. Gary & Alberfa Johnson c/o Gail Compton P.O. Box 131 Forest Ranch, CA 95942 Dear Mr. & Mrs. Johnson: oil LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT -OF PUBLIC WORKS CLAY CASTLEBERRY, Qirector 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 WILLIAM (Bill) CHEFF , Deputy Director. July 27, 1982 RE: Special -Inspection #27-82 (AP 63-04-71) With reference to the above subject and -.your proposal to convert a portion of the storage and shop located on the Echo Canyon Ranch Road off the Schott Road in Forest Ranch into a grainola factory, the requested inspection was made on July 21, 1982. The inspectio -revealed the following items which must be done or resolved: ( Since the area is zoned -TM 20, the proposed use must conform to the -° unty Home Occupation requirements. (Copy attached) Flims to be seated or painted.so as to be easily cleanable. Q� B� Provide 6" coved topset base at floor -wall -juncture in restroom and processing room. 690-_ aint ws and cei gs in rLestroo4t with ;a g�e�s or semviollll'! oss oil based a_ammel paint and provide a 4" high wainscoat of hard non-absorbent surfacing. 0/l/("_ provide a.3' self-closing door at front of processing room and remove over- _ h_ d door, DC ,�/��t%�/"Provide shielding on f lourescent light. tubes _to prevent glass contamination f foods in the event o breakage, 6� (7Provide mechanical ventilation for restroom capable of four air changes per our and processing room. tg x Provide light and ventilation for processing room with exterior glazed openings equal 1/10 floor area, 1/2 openable,,by artlight and mechanical ventilationstem capable of 5 cubic feet minimum outside air with total irculated of .15 cubic feet per minute .per occupant. Ole ( Provide self- r on restroom door, provide premanently mounteO let. aTer; a e , and soap ensers in restroom. �� Provide data on size of septic tank and length of leach lines. Apply for health permit for the establishment. pK ( erify plumbing fixtures are vented and connected to the building sewer. 13 If building is to be heated or cooled, verify building walls and ceiling roperly insulated to conform to non-residential energy standards.. O/Z Protide hood or speccations on oven indicating the unit has an integrated and approved exhaust ventilation system prior to installation. ~, 0)Z (1&.Provide hot and cold water to potysand lavato sink. `wary. & Alberta Johnson 01.,=,,RE: Spec1a I Inspection 1�21-82 July 27, 1982 Page 2 It is now in order for you to submit three (3) sets of floor plans and plot plans. showing conformance with the above requirements to this office and apply for the required permits and pay the appropriate fees. Should you have any questions concerning -this matter, please contact this office. Yours very truly, Clay,Castleberry Director of Public Works'." J.F. Glander JFG:ds Chief Building Inspector cc: Health Department Attachment 'TW- ' COUNTY OF BUPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Califurnia 95065 - Telephone 916/534-4541 APPLICATION AND PERMT ' PERMIT NO. ASS SSOR PA RCEL^NUMBIR r\ `--``)) //// _. ZONING /1 �y BUILDING PERMIT Ow /�0. TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OW 'S AI ADDR ES � e 1 r� Y CONTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS 41 Permit Fee $ X8��0/�.� ARCHITECT OR ENG( r LICENSE NO. Plan Checking Fee $ .2 FVC/ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD� S I PLUMBING PERMIT Filing Fee 10.00 Each Trap IJ 2.00 - n Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE / SF[:] Duplex❑ Mobilehome❑ Other aL �jDCe� jrtLawn SPECIFY Building sewer sprinkl r system 5.00 TYPE OF WORK New❑ Additio ❑ Remodel❑ Utilities ❑ Installation[]Other[- Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.5'50 NEW CONST. \ DWELLING OCCUP,01) OR ADDNS. AGC. BLDGS. 20 sq ft 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. (cense No. Classification mr/L1, 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 CONSTR (MULTI -OUT LET 2.50 ea NO N.RESID BRANCH CIRC TS NEW CONSTR. ( POWER APPARATUS D) c NON.RESID. SINGLE OUTLET CIR, 50 @ 250 Ex. OCCUp�OUTLETS OR FIXTURES BAL@100 Ex. Occup.(ouT ETS FIXED P(RESID )KEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 0 S^ 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 B4tte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. U 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation �^ � 1> Permit Fee $ S! v p 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 a'd yoty ' consequ nce of the granting of this permit. %��- �- s1/� Date_ lv�/� 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 $ TOTAL PERMIT FEE $ 1 i7 0 . Occup. cnouP g_!L TYPE of C NST. �� PARC % N t Ies E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/- Receipt No.fe WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT o 1 n Inter-DepOartmSentral ''Memorandum FROM: /Vl rYy�i �.T�ifT`✓ l%�v✓. f—�Cr//� SUBJECT: CZ21 A TZP'�'- DATE: (P[7--rfg-1 S� � /� , Sy S �M NE/-�S ��' F `✓ C' Leis=rC 1� /� � � _ �//2 I, Z� s/wcF Tf�c. All"C ! c.'" LJt S14 -r -J -r* 77 D w TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Ad /o ,� ?i - ,� 1 6 3- oV— 7/ Owner Location AP# Plan approved for: 1'sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile .home. Other. Note*** Sanitarian Date _ COUNTY OF BUTTE - DEPARTMENT OF,PUBj_(C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. � OWNER `-1 /L- � ©/�� �O�V A. P. No. lD 5 -Ock 7 � Proposed Building Use 6MMC--eT SS%4 5 y X�)dD �ieO�CSSiit/�i Permit Fee Based -Upon? Complete Contract Price DPW Valuation Other (Explain)_- Building Inspector Date lU^lr d �---' 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization._ .4.4 10. Sanitation approval from A' Health Dept.. tanning approval for (A) Use: ��B) Parking:. 12. Certificate of Workmen's Compensation surance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . Vp . . 17. Pre -Inspection for Requir linger. Inspector request to Iding I(Date) Other AERP" Nor+n� D 14d Wh,�"ou issue the,' /p/e!er--mit, process as follows: Mai l to owner. _ Telephone `7�/� andof for pickup atOffice Other Applicant f{. Mail to contractor. _Deliver w/inspeci4y.'i Date Copy of plans sent Health Dept., Fire Dept., Other Date AO it During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at t' e f ap lic tion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer' was advised of above required data y� _Telephone Mail Other By Date to 11,% %Z Plans checked by Date Plans approved by Date Other: _ �Copy -DPW n4 a fev st �r�,pvr MALTA l wr. ?qW -0 1/1EA Page 1 i 'MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE //�� + <dA Bldg. Permit #1670 OWNER C AIL C�� A. P. #. 6-19- -?/ A. GENERAL 14MVE beg.. Ce a� i0t falkm ' Zoning requirements (sideyards, parking, special conditions). �M-120 Valuation. Signature by R.C.E. or Architect (if required). Calculations. Improvements and drainage -- Land Dev.,DPW; City of Chico; City of Biggs. omplete plot plan with dimensions, easements, other buildings, and other pertinent data. See previous permits and plans in file for expired permits, change of use, etc. B. OCCUPANCY REQUIREMENTS 1. Building use 2. Occupancy Class _ 1Fa* "iCEt811JGe (,_%7U400M 3. Building floor area in 4. Total allowable floor Basic allowable floor Basis for incre area 8edo sq.ft. area sq. i _ Type of Constr. Occupant Load ARteq 8! Additions, alterations, and repairs exceeding 50% -(Sec. 104). 6/.Compliance with occupancy group requirements (Chapters 5-13) . J12a v3dr "ikQ�K1ft ccupancy separations (Sec. 503)..a6 i�Area1lf� ���009 SkaFL- MOM separations (Sec. 505) .10 9"Firewalls due to location on property (Sec. 504 W QMKVK4LUlUt. , lMaximum height requirements (Sec. 507). dd: l� Attic separations (Sec. 3025). 1- Ventilation and special hazards requirements (Chapters 6-13). 1�. `Fire extinguishing systems (Chapter 38); Fire alarm systems (Sec. 809 & 9'09). i^ Mechanical code requirements. (Grease Hood w/fire sprinkler system - Chapter 20). / 1 Health Dept. Plan Review -(a) Restaurant Act; (b) Commercial�Pool. 16/ -Smoke detection system. 17�Fire Dept. Plan Review and/or Fire Marshal Plan Approval. 18/Electrical Code Requirements (Pools or hazardous occ.) (Art. 680 & 500's). C. TYPES OF CONSTRUCTION REQUIREMENTS 00- Fire retardant roof coverings (Sec. 1704). cower Parapet walls (Sec. 1709). oilet room floors and walls (Sec. 1711), �+. Physically handicapped (Sec. 1711 & Table 33A)..0j 5. Guardrails (Sec. 1716). Detailed types of construction requirements (Chapters X." Proper roof pitch for roof covering (Chapter 32). Attic access and ventilation (Sec. 3205). �. Roof drainage (Sec, 3207). 18'." Skylights (Chapters 34 & 52). 1]�Stages and platforms (Chapter"39). Interior wall and ceiling finish (Chapter 42). Fire resistive requirements (Chapter 43). j Wall and ceiling coverings (Chapter 47). 1S/ Glass and glazing (Chapter 54). Building Materials - Check: Grade, Species, Allowable Example: (Glu -lam Beams w/ certif. 24F ext.grade). VAITWr- Wft%M0Q OfRo . NSM' QE TAE A CItu ast* hh 1 !9 t 1 J2e� I 3tr+1 �c 17 22) . $ t , Nom& Ott. �KICi'Wk i��STIk�OIR -'` oar PRAtUt Human Impact (Sec. 5406). Stresses, Ext. or Int. -- IPLE FAMILY A Page 2 (continued) D. STAIRS EXITS AND OCCePAK. LOADS General Exit Requirements (Sec. 3301) (Post occ. load, etc.). 2!'Number of exits, width and locations (Sec. 3302). 3/ Doors (Sec. 3303). 4/ Corridors and exterior exit balconies (Sec. 3304). Stairways, rise & run, width, winders, and construction (Sec. 3305). (f Horizontal exit (Sec. 3307). 7e� Exit and smokeproof enclosures (Sec. 3308 & 3309). J 8K Exit signs and illumination (Sec. 3312). 9o'***,' isles & seating (Sec. 3313). 1;. --Exits for occupancy groups A-E.(Sec. 3315-3319). E. ENGINEERING REGULATIONS, DESIGN, QUALITY, MATERIALS, AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plans must include plot plan, floor plan, foundation plan, elevations, and complete structural details. �2! Energy design, calcs, and necessary details (State law). WT MWM 00 V%A w Veneer (Chapter 30) . Npi '�o B� i� we .r 0►1�1�t+ yq, ei'�. .4o'.' Chimneys and fireplaces (Chapter 37). Engineered plans if required. 510% Cc# 5/ Plastics (Chapter 52) . 161 /a? Nva-N►EAi�p M1R'e+4Wi' i/l 6/ Excavation and grading (Chapter 70) . 1L aeT t+EgN11e+� 7-. Continuous or Special Inspection (Sec. 305). Factory or other certification. Soils or compaction data. 1�! Noise regulations. 1� Footing reinf. Min. Two #4 bars (cont.). 12'e." Engineering Calc(s) should include:. (a) Roof - Ceiling. (b) Floor - Ceiling. (c) Foundation. (d) Walls -- Large openings? (consider lateral). (e) Lateral: 1. Roof Diaphram. 2. Shear Walls. 3.- Anchorage & Tie -downs. 4. Connections thru-out. (f) Retaining Walls. I Gary & Alberta Johnson c/o Gail Compton P.O. Box 131 Forest Ranch, CA 95942 Dear Mr. & Mrs. Johnson: !/ 3 g.'• ;�i LAND OF NATURAL WEALTH AND BEAUTY .DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY.. p.irector 7 COUNTY CENTER DRIVE, OROVILLE', CALIFORNIA 95965 Tclophone:(916) 534-4541 WILLIAM (Bill) CHEFF Deputy Director . July 27, 1982 RE: Special Inspection x,`27-82 (AP 63-04-71) With reference to the above subject and your proposal to convert a -portion of the. storage and shop located on the Echo Canyon Ranch Road off the Schott Road in Forest Ranch into a grainola factory; the.requested inspection was made on July 21,. 1982. The inspection revealed the following items which must be done or resolved:. (1). Since the area is zoned. TM 20., the.proposed use must conform to. the County Home Occupation requirements. (Copy attached) (2) Floors to be sealed or painted so as to be easily cleanable. (3) Provide 6" coved topset base at floor -wall juncture in restroom and processing. room. (4) Paint walls and ceilings in restroom with a gloss or semi -gloss oil based enamel paint and provide a 4" high wainscoat of hard non-absorbent surfacing. (5) provide a 3' self-closing door at front of processing room and remove over- head.door. (6) Provide shielding on flourescent light tubes to prevent glass contamination of foods in the event of breakage. (7) Provide mechanical ventilation for restroom capable of four air changes per hour and processing room.. (8) Provide light and ventilation for.processing room with exterior glazed openings .equal 1/10 floor area, 1/2 openable by artificial li.ght,and mechanical ventilation system capable of 5 cubic feet minimum outside air with total circulated of 15 cubic feet per minute per occupant. (9) Provide self -closer on restroom door, provide premanently mounted toilet paper,• paper towel, and. soap dispensers in restroom. (10) Provide data on size of septic tank and length of leach lines. (11) Apply for health permit for the establishment. (12) Verify plumbing fixtures are vented and connected to the building sewer. . (13) If building is to be heated or cooled, verify building walls and ceiling' properly insulated to conform to nonresidential energy standards. (14)) Provide hood or specifications on oven indicating the unit has an integrated and approved exhaust ventilation system prior to installation. (15) Provide hot and cold water to pot.sink. and lavatory sink. ._..Gary &Alberta Johnson RE: Special Inspection #27-82 July 27, 1982 Page 2 It is now in order for you to submit three (3) .sets of floor plans and plot plans, showing conformance with the above requirements to this office and apply for the. ° required permits and pay the appropriate.fees. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:ds Chief Building Inspector cc: Realth Department Chico Office Attachment File No. BUTTE COUNTY. (For Action 7, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop &Yards Bldg. Insp. Admin. D&C /Traffic Const. Rd. Des. i Br. Des. Sur. &Loc. Transp. R/W =Dev. EU me � r LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS` ..S`�t•' 1 ''' CLAY CASTLEBERRY, Pirecto, �• ` t''y �`�",,,„-fir'. jr. �►r,^�.•• ,a': •�ratY ..•r'•.' _ ',,. �7 COUNTY CENTER DRIVE, ORdVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 ;tomf)a ?!. {ayft4 i j'. WILLIAM (Bill) CHEFF yy�' w t ` . t'a at�'S3..f F• Deputy Director .. t,7 xt,,ry����..a�,�,G"� f�a��.4 • � ti ' `tq r.; 'July, 1982 2 _ •_ 'C 7r�h 4-Garyo&Alberta Johnson. RE: Special Inspection #27-82 y;. c/o GailAompton,(AP 63^0471) P 0 x? 137' tx+� r *„� • •t. Y.' !. r? '{l't'• rid R' $ ,L .] - i, " ; r �?„' s Forest Ranch, _ CA 9594 '+t.,2 T1'VR Mrs. Johnson •z >� n ` '_. *: With reference to the above subject and your proposal to convert a portion of the storage nd shop located on the Echo Canyon Ranch Road off'the Schott Road in Forest Ranch .into ' a grainola factory, the requested inspection was made on July 21, L9&2.. S� Q" ;;The inspection revealed the following items which must be done or resolved: S r �'�,`� aJti�+1• flr'',e.�..?T�''tf '}?:y• Jr . - ✓•'r r\-'et$�. �..�� - $inceF •the --area is zoned TM 20 ~the Hro osed use must conform to the, .County Home -Occupation requirements. (Copy attached) t�.r`r. A rloors to -be sealed or painted so as to be easily cleanable. r• � f r ` r ice. rs� i°- f (3)':Provide..6":coved topset base at floor -wall juncture in restroom and processing 3` c r y;:.ra room...° �:-�� , .. .:...:,• .:.� -.��•, >_... -._; _ is.�•t — •Paint walls and ceilings in restroom with a gloss or semi -gloss oil based z..51 - i :s -enamel paint and provide a 4" high wainscoat of hard nonabsorbent surfacing. t n(5) provide • a ,3',, self closing door at front of processing room and remove aver- �fr Dead «' (6)f*�Provide shielding on-flourescent-light tubes -to prevent glass contamination foods in,the event -of breakage. �t,�, ` (r7)�,�".',Provide mechanical•ventilation*for>restroom-capable•of 'four air changes per 3 }� s rig hour• a d' p ng •,k, „r r _ n rocessi ;;room:.:-. syr (8)Provide light and_venti�ldtion for processing••room with exterior glazed ..;°:• ' T �� 'Y openings. equal,l/10 floor ••area; 1•/2 opeaable�by-artificial light 'and mechanical { < ventilation~ system capable of}5.,cubic feet: minimum outside -air with- total " .5circulated,of .I5•- cubic,feet per minute per -.-occupant. j 3`'•.•'?:Tl' '''"(9)' -Provide self -closer. on restroom door, provide premanentIy mounted toilet .: paper, --paper ,towel * . and soap dispensers in restroom. t (10)='Providedata on size of septic tank and length of leach lines. °� `� `t{'"' • '(ll) t• Apply for health permit for the establishment. ' `` y'rs•,12 - Verif ".( ) y plumbing fixtures are vented and connected to the building sewer.. (13) - If buildingis to be heated or"cooled, verify building walls and ceiling .properly insulated to conform to non-residential energy standards. 14 Vql., (U4•)) Provide hood or specifications on oven indicating the unit has an integrated Vi and approved exhaust ventilation system prior to installation. U57 Provide hot and cold water to pot sink and lavatory sink. tif �N� ., ++,+4 sr r: tly�,�IX r �Yt �i��. Jr'', L. 'r, •,t.. •:+-, r.. Irl },-k•� f Ll.` i:'- � :f `$ .. .. • • ' + ,� M�' ' J1 X fit'' .•^\ ' EU me � r LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS` ..S`�t•' 1 ''' CLAY CASTLEBERRY, Pirecto, �• ` t''y �`�",,,„-fir'. jr. �►r,^�.•• ,a': •�ratY ..•r'•.' _ ',,. �7 COUNTY CENTER DRIVE, ORdVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 ;tomf)a ?!. {ayft4 i j'. WILLIAM (Bill) CHEFF yy�' w t ` . t'a at�'S3..f F• Deputy Director .. t,7 xt,,ry����..a�,�,G"� f�a��.4 • � ti ' `tq r.; 'July, 1982 2 _ •_ 'C 7r�h 4-Garyo&Alberta Johnson. RE: Special Inspection #27-82 y;. c/o GailAompton,(AP 63^0471) P 0 x? 137' tx+� r *„� • •t. Y.' !. r? '{l't'• rid R' $ ,L .] - i, " ; r �?„' s Forest Ranch, _ CA 9594 '+t.,2 T1'VR Mrs. Johnson •z >� n ` '_. *: With reference to the above subject and your proposal to convert a portion of the storage nd shop located on the Echo Canyon Ranch Road off'the Schott Road in Forest Ranch .into ' a grainola factory, the requested inspection was made on July 21, L9&2.. S� Q" ;;The inspection revealed the following items which must be done or resolved: S r �'�,`� aJti�+1• flr'',e.�..?T�''tf '}?:y• Jr . - ✓•'r r\-'et$�. �..�� - $inceF •the --area is zoned TM 20 ~the Hro osed use must conform to the, .County Home -Occupation requirements. (Copy attached) t�.r`r. A rloors to -be sealed or painted so as to be easily cleanable. r• � f r ` r ice. rs� i°- f (3)':Provide..6":coved topset base at floor -wall juncture in restroom and processing 3` c r y;:.ra room...° �:-�� , .. .:...:,• .:.� -.��•, >_... -._; _ is.�•t — •Paint walls and ceilings in restroom with a gloss or semi -gloss oil based z..51 - i :s -enamel paint and provide a 4" high wainscoat of hard nonabsorbent surfacing. t n(5) provide • a ,3',, self closing door at front of processing room and remove aver- �fr Dead «' (6)f*�Provide shielding on-flourescent-light tubes -to prevent glass contamination foods in,the event -of breakage. �t,�, ` (r7)�,�".',Provide mechanical•ventilation*for>restroom-capable•of 'four air changes per 3 }� s rig hour• a d' p ng •,k, „r r _ n rocessi ;;room:.:-. syr (8)Provide light and_venti�ldtion for processing••room with exterior glazed ..;°:• ' T �� 'Y openings. equal,l/10 floor ••area; 1•/2 opeaable�by-artificial light 'and mechanical { < ventilation~ system capable of}5.,cubic feet: minimum outside -air with- total " .5circulated,of .I5•- cubic,feet per minute per -.-occupant. j 3`'•.•'?:Tl' '''"(9)' -Provide self -closer. on restroom door, provide premanentIy mounted toilet .: paper, --paper ,towel * . and soap dispensers in restroom. t (10)='Providedata on size of septic tank and length of leach lines. °� `� `t{'"' • '(ll) t• Apply for health permit for the establishment. ' `` y'rs•,12 - Verif ".( ) y plumbing fixtures are vented and connected to the building sewer.. (13) - If buildingis to be heated or"cooled, verify building walls and ceiling .properly insulated to conform to non-residential energy standards. 14 Vql., (U4•)) Provide hood or specifications on oven indicating the unit has an integrated Vi and approved exhaust ventilation system prior to installation. U57 Provide hot and cold water to pot sink and lavatory sink. tif �N� ., ++,+4 sr r: tly�,�IX r �Yt �i��. Jr'', L. 'r, •,t.. •:+-, r.. Irl },-k•� f Ll.` i:'- � :f `$ .. .. • • ' ,.; ;Gary & Alberta Johnson RE: . Special Inspection #27-82 `. July 27,:1982 •y �V. y� < page 2'f` t`a�^It is now in order for you to submit three (3) sets of floor plans and plot plans showing conformance with the above requirements to this office and apply for the �n,„��- required permits and pay the appropriate fees. - "_•. Should you have any questions concerning this matter, please contact this office. L;, : �- .�r.-�.tl{ Yours very truly, r*,t •:r + +yi r. F,J,,.•`: tt:� Clay-Castleberry : ,'i�� • Al ° l ° ' ;,t t? ” Director of Public Worms C, "-^ •h,�,��r !,(��i£„�r+�,: .rM. � � iI tos t� per. a'�',i UN.try �}�{ -s�`n• y 3 .�}: '�''KKM� .,�.._ -. ,.r' i - , l- i• ' ^.. f je - ki1�a r {r • r F. Glander �•� -: JFG:dsr ��•> ` Chief Building Inspector cc: Health Department Chico Office + Attachment t= �Lt�y��t,r st y� fyar�lti la< ifs r(J�� �s� •;,C y Y..r fy, S.. �.t. ^ �.: •- • �, �,3.'....'.�.w af{'t•.± _ - Y ` ra.tb.: t +�� .�,. a �.• s *: .. _ •xs� y,�� �,; y v .fit � � , ' �-• ' 1i Ys„ •,> ,� ti r}.sir ,#"T' - ;'t tt�r e,a•' S r lr����r'�. #•�rh��� � l 'f+ h� �. y .r � �e ;}• ar �;.� ' � �ya,�� Axa '1f•t i * -i t t:. t. S int`-'r t�4t`S�#d •y. KiL�x+G y L t_•a rV� M A __R1. •. 't `s h. i�w�tC. T�. � �# r � S �• A r: L� F • 4r �' Ys.s -' f �'�, � �i 3 r � �r:..• � t , �, :. ; '4� � :. �� �".. � 7 a a �a4•�.�i:'�d?e�t•-�,a 1 ;. • t 4'`�"'' ���.,;..de,"il 1��1s..i �yi n �,�-5�- �-. ,• �F' �r � ".n e. >iF r' � .x, � a.: •s�i''!r''F• �.. 3 ��+ +��s-�i'. .,.��( •r>>•s, d� .�•x +,�.' 3��k i.,�.�:�'s�L-•'3"s:Fs''� r. S M :`•Y� 4�+•-Y'r1='T- 1 "4: `dJ1. M,S -•+ "t:.T•,^' '�1 •f 4• t+ �L: Ca E +',:`t .t. Y{•.T:•at ��- s.r•. �yy t {rto fr' ;t r y wwf�p':{ f. y�-- t-'r ${� •• Ci7t'^rf�*i'..:- 4 r'j.-'f,�,�'T•41Li• 7 y rr,1e 4 t_- ,s ;t'vvlw {l'2'�`-» taF�`xrt �µf�ea 1�4v, 45y ;4 i0 .. r.r....., 'Tl �Vf ' '-ex.,r� e ;s'” 4 �'t''"v +T+?.,J �� t �.X rcL 2 T�Y L•S •;' t�� "j' aax � .. ... � . 1e. rt. •1...�.' �. ,a�.,is �`�Y::G �� �ir'"!"dS•% Y xTf VS PO 7r�. r.. !`��' •� +4 s�. r.. i L s'. !` - . - S +• T s-5 ` � e+�.,b ,��,•! Sts„ f < i,z',�, r.. {, . . _ ,. • . , f, .� 1 p. x'",, pT L t - �! �i; f J'� .$ ti Pr, `ter. •�'t Itx�., _ ^`.�+ ,' ' w 7L 1A i ��� � � x �' ti. 'G � � .. a, ld '�F• M �i ��..+s f � ± t ^ . ^ .. , t 4 4, c jr X.+• _ }'jy r,�'3y-.. ' :y ^ `-' _ f i it iy h' f r `. dA - r q?: +f .3'`'1. ,+.r •i/ 7 •', M , -} + • L. 7f "7 (* - `r - r E ,• ti -' u,,,r, t+. r Y: i i.1r Jam. .�r:��l-t i�r'Fa++•� _L=''- 'ir' .r. i c`£ .:3.:- '•'•a= .,,r^ �' .kV., v , .. - .+., 7� : Cc - f • _ - -.a+ t ;i�L ,: %:- ...�,.. ••K . -" t .._.°.i'.-a r -- S. � - .. r - :r- S6cs. 24-191-24-199. Reserved. See. 24-200. Home occupations. .(a) Permitted. Notwithstanding an yprovis ion. to the contrary in this chapter, home occupations ' as defined in section 24=21.195 are allowed in all zones which allow dwellings and mobile homes except in cases where such occupations are objectionable because of noise, odor, smoke, dust, bright light, vibration'.. pollution, traffic congestion, unsafe access or the handling of explosives or dangerous materials. In such cases a use permit shall he required. All. home occupations shall be subject to the following conditions: _U) Employment and work on home occupations shall be limited to members of the family residing on the premises and shall be conducted entirely within their dwelling and auxiliary. buildings, except for.agricul-.. CP tural uses. (2) ' On-premises.advertising. for home occupations shall ate i=i ted to one (1) unlighted sign with not raore than three- (3) square feet of display area,. and such sign ',--shall notbe located in any required yard. '(3) All equipment, materials and -wastes connected with. home occupations shall. be contained.. within a building, except for agricultural products. (b) Zones. The provisions of this section shall apply to the following zones:.. T C AC COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPL Owner � vl CTV�J A. P. No. („ _Sr- C) 4 Mailing Address �© I`3 j 1'NC� 1l�M(i�'i Telephone No..3 V3 -:Dr%o Mail Building Location Iotoo rti� (.I C SZAA° ' \\ CL J V-, 1 n I hereby request a special inspection of the following building: / / 1. Dwelling (if only a portion, specify) / / 2. Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. / 2. Financing ( specify agency) Change of occupancy to / / 4. Other (specify) 0 Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections`, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date % 13- 9c:, Sig ture of Owner 00 ' Receipt No. F e e paid $ ' ^,- � �- p 7` - 1st -DPW - 2nd -Inspector - 3rd -Applicant • F P COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534=4541 APPLICATION FOR SPECIAL INSPECTION Owner A. P. No. (r, S --- i) 4 Mailing Address ( ('') �j CS L / j � �'� re �� am ('l l `R Telephone No.3 (/,q rIn l� Applicant (7 A , l x� M 0�_ ?) h % Telephone No r1 U � _'Q '-/T) Q Mailine Address. i`i r,-cL. i1 ) _ r-.oc� i��s�� 0 — ' Buildin I hereby request a special inspection of the following building: / / 1. Dwelling (if only a portion, specify) / / 2. Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) / P�. Other (specify) I am requesting a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) 3. Change of occupancy to / / 4. Other (specify) f Case No. I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the.County of Butte to enter upon the above-mentioned property for inspection purposes. 4-L Date %/3 c Signature of Owner Cl Fee paid $ `��- � O Receipt No. 1st -DPW - 2nd -Inspector - 3rd -Applicant -v f4..--•-�.-.� �� ,rv-.-�v...._ .w-:r..::.C�:-^G{7�r •+--C.. --. •---^i' �.. ^-.�'ti�..1-�-'` .-, - wr'...,.+ � ^s- - .... ' �- COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION w 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET 4. - Permit No. OWNER r A. P. No. Proposed Building Use Permit Fee Based Upon: Compl ,e Contract Price DPW Valuation f er ( xplain) Building Inspector' ` `Al Date 7-- Z At time of permit application, I'was advised t e following data must be submitted prioryto permit processing and/or issuance: DATE RECEIVED APPROVED t All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. ... . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete'engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. ��,,.�� 7 Statement of Intent for Non-He�atedd nd AC Buildings. 8. Fees of $ `/ t �� / . . . . . . . , . 9. Letter of signature Zaut.horization. . . . . - . . . . . 10. Sanitation approvalQfrom Health Dept. 11. Planning approval fo'r' (A) Use: (B) Parking: t 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner. ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required- Building Inspector (Date) 18. Other i When you issue the permit, process as follows: Mail to�we,__Mail to contractor. Telephone and hold for pickup at Deliver w/inspector. Other Applicant z Z Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other 3 By Date Plans checked by ` Date Plans approved by Date Other: Copy -DPW t B. Structural 1. Piers and footings: 2. Floor construction: _ 3. Wall construction: .4. Ceiling and 'roof construction C, k -o 5. Fireplaces:' 6. Comments: C. Electrical 1. Service and ground 2. Receptac es: 3. Fusing: ✓ 4. Comments: D. Plumbing 1. Futures connected 2. Gas water heater:_ 3. Cas heating vents: 4... Comments:• P BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: A.P. �:..� Address: Date of Inspection Tenant: �o�� L �� Inspector Building Location: to .o Sc f 73 / Type of Inspection requested. N.t o Gr v r 1. Housing. 2. Financing 3. Chane of Occupancy to `— 4. Other (specify) :'Present use of building: A. Sanitation (Housing_ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating' facilities: sw . 7. Natural light and ventilation: 8. Room and space requirements: . 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connection -to sewage disposal: r� 12. Connection to water.supply: 13. Rubbish and garbage facilities: 14. . Comments : -;,,- • s 4 C� K co B. Structural 1. Piers and footings: 2. Floor construction: _ 3. Wall construction: .4. Ceiling and 'roof construction C, k -o 5. Fireplaces:' 6. Comments: C. Electrical 1. Service and ground 2. Receptac es: 3. Fusing: ✓ 4. Comments: D. Plumbing 1. Futures connected 2. Gas water heater:_ 3. Cas heating vents: 4... Comments:• P E. Other 1. Maintenance and .repair: 2. Fire hazards-. 3. \Safety hazards:' Weather protection: 5. Underfloor and attic ventilation: 6'e' Comments: F.' Conmercial Buildings Roof covering: Disrdnce to' property lines: iysically handicapped: Plest-66iii. floors and walls: (!C5- Exits: b . bfi pr6verndfn_t_s. /�8 Zoning:-'. P,,Z- 0 ConnentC: -4 ------------------ - G�c G. Fiela_*Proble.-,,i_- 'Or V iolat iovs 1. Problem or %riolation (give complete description): 1. What action taken (give ccmiplate description): .3. What action recommended: 77A.'Inforniation only L B. Hold for ten (10.) days, then wrtu letter. Write letter. I D. Other': Gail'Compton Post Office Box 131 Forest Ranch, CA 95942 September 29, 1982 Butte County Department of Public Works 7 County Center Drive Oroville, California 95965 Re: Special Inspection #'27-82 (.AP 63-04-71) Attention: Jim Glarider Dear Mr. Glander: In response to your letter, of July 27, 1982, wherein you outlined results of Special .Insepction #'2.7-82 (see Exhibit #1 attached), the following changes have been made: 1. In compliance with Planning Department regulations for the County of Butte, property is zoned appropriately for home occupation. 2. Floor has been sealed with Acrylic/Laytex.non-lead floor paint. 3. Six inch vinyl/rubber cove moulding has been installed in food processing room and restroom. 4. All walls and ceilings in restroom are painted with epoxy water proof Sherman Williams KEM A&A Epoxy Enamel B61W101 Professional Coating. 5. Food processing room front overhead door opening has been framed with 2x3 foot double glassed safety glass and 42" x 80" solid door with self closing. device. 6. Florescent light plastic bulb covers have been installed. 7. A mechanical ventilator has been installed in rest- room providing 15.air changes per hour when light switch is turned on. 8. Mechanical ventilation has been substituted for required window area, natural ventilation. Overhead lighting has been.substitu.ted for required natural lighting (as per UBC Section 1105 & 605); Installed 900 cubic foot per minute exhaust fan, wall mounted, 8' above the floor at the NE corner of food processing room. m Public Works Page Two 9. Installed. door closing device, toilet paper holder, hand towel and soap dispenser in restroom. 10. Septic tank -and -leach line data as shown on Exhibit #2.attached--750 gallon capacity septic tank, 50' leach line. 11. Health permit has been applied for. 12. Plumbing is vented and connected as shown on Exhibit #3 attached. 13. Building is not required to be heated or cooled. 14. Oven design requires only a venting device. No gaseous contaminants.or fumes of any kind are generated by this electric oven.. A small amount.of water vapor (about 1/4' quart per hour) is vented to.outside of food processing room by small squirrel,cage exhaust fan and plastic hose which is part of oven mechanism. (See Exhibit #4 attached) p� 15. Installation accomplished of Sears 110 volt, 1650 watt, 10 gallon hot water heater.in restroom plumbed to wash sink in restroom.and.food processing room pot sink. Additional copies of plans are attached at your request. I am unaware of the fees I am required to pay to the building department. Your help in this matter is.appreciated. Exhibit. List: #1 -Copy of inspection results. #2 -Septic plan shown #3 -Venting shown #4=Oven Schematic Sincerely, Gail Compton N 0 N- R E S I D E N T I A L B U I L D I N G S ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE I HEREBY CERTIFY, BASED UPON PERSONAL KNOWLEDGE, THAT THE WORK APPEARS TO HAVE BEEN PERFORMED AND THAT THE MATERIALS USED AND 'INSTALLED APPEAR IN EVERY MATERIAL RESPECT TO BE IN COMPLIANCE WITH THE APPROVED PLANS AND SPECIFICATIONS FOR y() (Building Permit Number) 8112 (UBC Occupancy Type) 'e5T (Location) Signer's Name (please print) Signature Date Job Capacity nzl—`� (contractor, engineer, owner, etc.) Chapter 6 of the Energy Conservation Design Manual reads in part ...."must be signed by the building owner, or the general building contractor, the design architect, design engineer, or an approved inspector*or inspection agency ..... The certif•icate.presumes a personal knowledge of the work and materials used; this means knowledge obtained from periodic, diligent site visits and reports from others engaged on the site.'.' 1 4 November 23, 1982 Mr. Steve Bowman Building Department Oroville, CA 95965 Dear Mr. Bowman: Re: AP 63-04-71 I am requesting a waiver of Item #5 on the enclosed correction notice, which is in response to your red inked comment on the plans at the site, for the following reasons: 1. The oven does not have a grill, or stove top. 2. The oven, because of it's design (stainless steel rotating drum), cannot be used to bake or cook as a conventional oven. This oven, a prototype, might more aptly be described.for these purposes as a grain dryer. 3.. The oven already has a closed exhaust system which is vented to the outside of the building. 4. No gaseous contaminants or fumes of any kind are generated by this electric oven. A small.amount of water vapor (about 1/4 quart per hour) is vented to outside of building. I have attached a schematic of the oven and venting system, oven Specifications and oven'Installation Instructions (Item #1 on attached Correction Notice. Please call me at 4611 between 8-5 if there are any questions or write at P.O. Box 131, Forest Ranch, CA 95942. Thank you for you consideration of this problem. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memoria! V'JaY. Chico — Phcne: 891 7 County Center Drive, Oroville 2751 Phone: 534-4541 Skyway and Elliott Road, Paradise Phone: 872-2961, Ext. 57 COR R. Eal 0 gy pq C).r I C E at �nm'on"",, �-- BUILDINC, OR PROPERTY ADDRES'S A routine inspection Indicates that the following violations of County ordinance exist at the above address and should be corrected. Please notify this when correction of work is completed, office Matter. or need additional If you have any question Pertainin ""'s Pleas* contact this of . �Ice- ;mm* explanation, 'Please g to this edialely- mss! ---------- Inspector ---------- 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS 196 Memorial Way, Chico — Phone: 89'-2751 7 County Center Drive. Oroville — Phone: 534A5�� ! Z_ Skyway and Ell�i9ott Road, Paradise —Phone: 872-2961 Ext, 57 WOV 6� E3UIL.DING OR PROPERTY ADDRESS A routine Inspection Indicates that the following violations of County exist at the above address and should be corrected. Please notify Ordinance Y question pertaining to this when correction of work is completed. If you have any this office matter, or need additional explanation, please contact this office Immediate) . Inspector G-2'?—,1�� l�j Date �j-� i 1 , I I L/ / 1 L/ N. �I C/ OTHL S_.�RYEd3_' TE_FL_QN-_BEA__RLN S/ W L L VE/V %- DRIVE SPROC KE.T , ' SAf__T__-i._ I STAINLESS STEEL DRUI"I - i- - Srl,4NDA RD 4 ,lI(/C- H CLO -T-1-1 _DR__Y i Of 01 i DRIVE MCTO� ' CX�-AJ15Y��lN � MOr&R ° ahlZ D,1 D IW6 ASL VAf'O(,'S'VEN%ED/To�P�.-� .To CU T,5 D E o J_L— • - i I TSE R M. as 7"AT — � � 4 � i � 1 !�� ' i —tea ; -; I ---_� - - ` �y-_---'—'----,—..__ ..--C—_—_ LE;L. ECTR %C HEATiIN'G I t_ i _%• E� •E�EI4'7`S _•_t i t I j.� Item Dimension Volt/Watt/Amp Weight Material Capacity Oven Base 45" x 4' NA. ` 45 lbs 1-1/4" arc : NA. 1 welded mild steel' �- - ' 55 ' Stainless Steel 2V2,11. x 32" NA 71 lbs- ! 1-304-16 guage gallon Drum 100 lbs ~ -� stainless steel 1 arc welded mild 1 NA Oven Drum 3' x 3' x 4' NA. '. Housing steel. galvanized,' steel sheet , Heating Elements. NA I 220V/2250W-each/ NA U.L. approved 4500 watts -Two Each. 10 amps Drum Drive 110V/I90W/1.65 4-1/2 lbs , i U.L. approved 1/60 hp 1- NA Motor. amps r Loading Rocker NA I 110V/190W/1.65 4-1/2. lbs f U.L. approved E 1/60 hp Motor i amps I ' Exhaust Blower f NA 11OV/25W/0.21- 2-1/2 lbs. U.L. approved 15C..FM and Motor amps ' Free Air Installation Instructions Captain Grainola Oven 1. Electrical and mechanical components of the Captain Grainola Oven, such as heating elements and thermostatic con- trols, purchased from Haldorson Appliances, Chico, CA, and switches purchased from Biggs Electric, Chico, CA, are U.L. approved. Three fractional horse power motors purchased from Blevins Electric, Chico, CA, are U.L. approved under the Motor Component Recognition Program. The machine work for the drum drive and Teflon bearing housing was done by Thomas Engineering Machine Shop, Chico, CA. The Teflon bearing for stainless steel drum drive designed and manufactured by Rulon Corp., San Francisco, CA, never needs lubricant. The 55 gallon stainless steel drum and cover was purchased new from U.S. Steel Products, Sharon, PA. No part of oven interior or drive train connecting oven interior with outside drive units requires any lubricant whatsoever. 2. The oven -drum housing and stainless steel drum rest on a base 25% larger than the oven drum housing. Once assembled the drum and housing are extremely stable and need only be connected to appropriate electrical outlets and oven is ready for operation. 3. The exterior of the Captain Grainola Oven remains safe to touch even after prolonged operation. It is insulated throughout with 2 layers of 6R Factor Glass insulation_, each layer completely enclosed with 8 mil. aluminium sheeting and sealed with U.S.D.A. approved inert silicone sealing compound. 4. The operating capacity of the oven is 50.pounds of grain flakes per load, producing no volatile gases, smoke, or other fumes of any kind. The small amount of water vapor given off as the grain dries is extracted directly from the stainless steel drum by means of negative pressure inside the drying drum.generated by a small fractional horsepower electric blower mounted.outside oven housing on the access door (see Exhibit 4-a). The vapor is. vented to the outside of the build ing by means of a closed exhaust system consisting of a standard 4" clothes dryer hose and domestic clothes dryer wall vent (see Exhibit 4-a.). 5. All exposed surfaces of the drum housing.interior are either 8 mil.. aluminium sheeting sealed with U:S.D.A. approved silicone sealing compound (FDA Regulation No. 21 CFR 177.2600, formerly 121.2562), or unpainted mild steel. The exterior surfaces are galvanized 22 gauge steel sheeting. The oven base is 14" welded mild steel square tubing covered with aluminium enamel. These features,.along with the stain- less steel drum make cleaning this oven a simple and easy task. Oven Installation Instructions Page Two 6. Although the stainless steel drying drum is easily and thoroughly washable after each use without removal from oven housing, and grain drying takes place inside the sealed stainless steel drum from which water vapor is continually evacuated through a closed exhaust system, some grain debris may periodically need to be removed from other areas of drum housing interior. This,is easily accomplished by means of t% large 3' x 4' removable side panel which gives complete access to all components of interior of the oven housing for cleaning, and make removal of drying drum easy to accomplish. Internal trays covering the bottom of drum housing catch the major portion of the small amount of grain dust that may accumulate. All other interior surfaces may be effectively cleaned with a damp sponge. The process of grain roasting serves to sterilize all interior surfaces of the drum housing and stainless steel drum. 7. The fractional horsepower motors run on 110 volt electrical current while the two electric heating elements use 220 volt single phase power. The oven and drive motors draw less electric current than a standard domestic clothes dryer, less than 53,000 watts. (See Oven Specifications). Two separate wiring systems, one for the three small motors, the other for the heating elements and controls, are shielded with 1" flexible conduit or are metal enclosed. All motor drive mechanisms are shielded from operator's accidental contact. 8. Because of the lack of any fumes, hot air, volatile gases, low temperature of the oven housings outside surface, and small amount of water vapor generated being vented directly to outside atmosphere'through the closed exhaust system, no special precaution need be taken to protect oven operator or work environment. The oven produces no pollutants whatso- ever. Essentially, the oven may be assembled, moved into position, connected to appropriate electrical outlets and simple domestic clothes dryer wall vent, then operated with no special precautions necessary. This oven is a prototype designed and built by an individual. There are no factory -installation instructions. It has been operated - 350 hours. The patent process has just been initiated. This is not an operating instruction. This is not an assembly instruction. :J TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Fiat Pion Attached ✓ R-9 Pian Attachedf;— Sent to B.O. r Owner Location AP# '— Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other AM Hold final for: !, Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 --nvilOhmentai Health 0 C T Z 2 2001 Chico, Califomia sl 3X U0J-..U4U-070 01-2917 AUGROS, WILLIAM & CATH-ERj 5196 SCHOTT RD, FOREST RAN EXTEND PLUMBING OFFICE COPY Address. GAS RMeter 8 DatjL'l-o 'ol ELECTRIC Meter By Date—_—�— . . I - . - a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 b,. „P, 1MIT NO. (Rev. 12/96) APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER 63 ` 0,10_ ()-70 ZONING BUILDING PERMIT OWNERTELEPHONE U, J�rA PA, etf SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS�� ,�y . tr 7 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flan Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS S 4 Energy Plan Checking Fee $ -aiL /'" .•� �-- PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0100 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 77 Solar or heat pump water heater 23.00 piping 15.00 - Each Each as water heater or vent 15.00 /S TYPE OF WORK New ❑ Addition ❑ Remodels ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: QX(�E'r Q��ha1��•!�' ��R� C L S) fto LJ ;CAW /�- rl-S Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 01' ' S S 4 01- '71/4 yQ,- ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: '40*, I, as owner of the property, or my employees with wages as their sole compensation, t'A will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLAS. SO 3.5¢FT. NOµREOSID MULTRANCI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FUTURES SAL ® .SO Ex. Occup., p�,EF°,sA p. DOER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2.3 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation -of one hundred dollars ($100) or less.) O 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 Cotte l shall forthwith comply with those proms. /3 X [ Date ��� Signature of Applicant - EI -Owner 13 Contractor 13 Agent" / An OSHA permit is required fr excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE „�. ► TOTAL FEE $ J l S HAZ. p, FEES IMP FLOOD CDF PARCEL PD 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 PERMIT EXPIRES ON ate Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r t` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416/' ,ARMJ NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63` 0L/e0- 0-70 ZONING BUILDING PERMIT OWNER V, ), / v TELEPHONE 2 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRE - 016 3C> � •AnL CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 / TYPE OF WORK New ❑ Addition ❑ Remodel ❑/ Udlifies ❑ Installation ❑ Other ❑ Describe Work: /0, S ���C e'er n__ 7 CC `>�es U��e�/ �� C1rBS /�"J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W QG 20.00 PERMIT FEE t L' 0/_ I rs'S 6 01 „. 17Y4 4 — d / / L/0,6 ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: " 'gyp\ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACD. BIDS, So 3.5QFT; NONReSICONST. OUTLET CIRCUITS LG 7.50 POWER APPARATUS 8 SINGLE OLJTLE7 CIR. Ex. Occu , ounETORFaTUREs . @ o EX. Occup..ounEPIXEDTsAPPRESIDLNS. . OR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Z PERMIT FEE t 3 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 wor rs' compensation provisions of section 3700 of the Labor e-, shall fo ith ply ' h those provisions. � � J X I Date / Signature of App cant- Owner [3 Contractor El 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 $ Occ COT TYPE Bs Qy TOTAL FEE $ r :H:AZ].D FELE IMP FLOOD cDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By/7 PERMIT EXPIRES ON provisions to do work paid. '� %3 '�L ate Receipt No. �� 3C 6 6 d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I 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:. YEE NO 0 2: I HAVEHAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: WI -19 ao; CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ _ ` DATE: 1%3 ),20�n NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Cade- OVER ode OVER Health 0 22001 Chico, California ,� l �, _ ..� �!_ j_ C 1 _7 - I . . _ .... _ i' - �. n L.. . - r �. _ ,. :'1. - •/ ^) F +.I .. 7. A 1' /'N'. -[ _ i• • +1 t _ ry ;� F-• i X _ 'A. 4 Y: _ •t• •' T T+� - rt J! r . N :Y D -3� f :ROC Ic ou ..j ... . . _ .. .�.' C rv• C.." ) T _ ♦ 03 P M, • •w c r v 'ti' :S' F I'• ROA •o i. L' E. F 3 �' =1I4 s z: .� CO C �. rr -c` y'. •. • •r +' R `RCE 2 ',. <' :-.. •lir - =s �Kr. 7 f: c. 4 R R w t_J 3 EE •t+• r �t .R ,0 .•: T3 Y' A 'T^•' i� •9 a N '-1 '.' 1. 'LY` , ti ' i,. -y: 'V �i yy `t. y • Z-: _ •Yvt - Y ► L ••d •l f S 7 ••. �'.�, 3T�0 ;-•:: ' t, s y':r „ti. 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