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063-160-004
f/�A.P. Muriel Troutfetter Lot 15 (Forest Ranc f) Forest Ranch Wa For t- 'Permit 382-72B(new s g. f rly_) (factory built)-M066t.e 063-160-004 PERMIT#98-0168 BOVEE, Sheila 15293 Forest Ranch Wy,Forest Ranch Cont: Jessee Htg & Air Gas Line/MH fl*IV& 063-16-0-004 98-1230 BPEM BOVEE, Brian, & Sheila 15293 Forest Ranch Way, For Rch (addition) R.D. Robbins Const 0-9 I � cflI I _. 1 PERMIT NUMBER - B 382-72B P 327-72P E PERMIT EXPIRES _ �b _ 7 OWNER Muriel Troutfett coNTR:. Owner LOCATION (A. P.- �s' Lot 15 (Forest Ranch Unit#1) Forest Ranch Ways Forest Ranch -7 C. a y!,✓rle� i io�v/sf COUNTY OF BUTTE O HIT J 5a - ✓.✓� err Department ofi Pu,lp.n,e Works BUILDI G 1NSPE,TI N .RECORD Zoning Setback Forms Foundation Piers & G ders Firepla Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Final Temporary G Final Cert. of Occup. Final '�- a- DATE REMARKS OR CORRECTIONS O HIT J 5a - ✓.✓� err PERMIT NUMBER _ B 382-72B P 327-72P E PERMIT EXPIRES 3 - �� - % OWNER Muriel Troutfett CONTR: Owner LOCATION (A. P. -ttE�� � Lot 15 (-Forest Ranch Unit#l) Forest Ranch Way, Forest Ranch I PERMIT NUMBER B 382-72B P 327-72P E PERMIT EXPIRE -73 OWNER Muriel Troutfettle CONTR: Owner LOCATION (A.P.-tt5lk� Lot 15 (Forest Ranch Unit#l) Forest Ranch WayForest Ranch Chri'stopfie�' r Sound Co. Post Office Box 1675 Chico, California 95927 (916) 893-2000 2-4-400 Aootiz--- c sl �/'' 4£i Ges r�P�2 -�1� �iv7L/w ?Qe S �WLL�C �c7 wej wl� RNs IW4 t"IL �;f;. .,.:`� ;��./s�+ti tr�s�n�, d�'n�ss�syn�, .�s �� i�rryre �s !/i�/1�✓� X . r t he'�' B��CDiNOF eun.E OCT 01 r COUNTY OF'OBUTTE DEPARTMENT Or PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner Mailing Address A. P. No. Fire Zone Zoning Contractor Sanitation Planning Mailing Address BLDG. Address Plans Fees W.C. R/W Encroachment NEW 0 ADDITION 0 REPAIRS 0 OTHER 0 Others Single Multi USE OF STRUCTURE Family [] Duplex 0 Dwelling 0 Others F 0 U N D A T 1 0 N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R. W. PLATE (Sill) SIZE SPACING SPAN Girders Joists - 1st Floor Joists- 2nd Floor Fireplace Joists -Ceiling Total Valuation Exterior Studs Permit Fee Interior Studs Plan Checkin"g Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No . ........................... Classification................ and certify that the aforesaid license is in—full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date: of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.............................................................................................. .................................................................... .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.............................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT 18600 6 Receipt No .......................... 't (o �� . ......{� ..`.AC r. This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................Date................................ Permit Expires Date... COUNTY' OV BUTTE DEPARTMENT' OF' PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 l APPL/ICATION AND PLUMBING PERMIT Permittee Owner %�,.� _,•`--�-•'' 1.�� f�/ — '-�`.s "' A.P. No. <% Mailing Address Contractor--*--�" Mailing Address BLDG. Address DESCRIPTION OF WORK NEW [�;;q ADDITION REPAIRS 0 i OTHERS: � ��� '• �'" Remarks: USE OF STRUCTURE Single Multi RESIDENTIAL 'Family �� DuplexDwelling Q PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap Repair or alteration drainage or vent piping Installation or repair water piping Each gas water heater or gas heater 'vent . Gas piping system 1 - 5 outlets Gas Digin¢ 6 or more - Each House Sewer OTHERS: • Lawir Sprinkler system' Remarks: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: No. @ Fee $2.00 1.50 ' 1.50 1 1.50 1.50 1.50 .30 5.00 2.00 .S -t1 —!;,Cr I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................. License No Classification ............................................... and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................: WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. . ..`.I t� r.c /..!............ ....ittl6......... .................... Date 12 ........... ................................. SIGNATURE OF PERMITTEE OR AGENT ' Receipt No..........,,, ......................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY..�..:.'....�...'..:...: .....................................Date ? ..-'u/.�':... —, po,�. I cl; ol /� � COUNTY OF BUTTE J DEPARTMEDIY OF PUBLIC WORKS r 7 County Center'&hve'= Oroville, California 95965 PH'JNE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner J .' c i i/ r./. I - l A. P. No.' ' h Mailing Address X .r C Contractor t' r Mailing Address t J BLDG. Address r DESCRIPTION OF WORK NEW F__j ADDITION 0 METER SERVICE 0 OTHERS: Remarks: USE OF STRUCTURE Single Multi Family Q Duplex 0 Dwelling OTHERS: �- Remarks: No. PERMIT FILING FEE Filing Fee Fee $2.00 1.00 �( 12 or > (more than Sub -panel less) 12) Each V - ✓ Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each . 50 Light Fixtures % First 2D .20 Each Additional .10 r 1. Rece tacles„ Switches & Fixture Outlets ) / First 20 .20 Each Additional 10 Hood, Exhaust Fan or F.A. Furn. Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pumo Water Pump Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.............................................................................._......................................................................................................._.................................................... License No .............................. Classification_,,,_,,,,,,,,,,,,,,........................... , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one). Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.........................................................................................................»...._......».................».»..w....».. .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued tinder the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. • - DIRECTOR OF PUBLIC WORKS X ................................. ..................... ...... .......... Date ........................................ ...... ...... ..... ....... SIGNATURE OF PERMITTEE OR AGENT ' By.......................................................................... Date ...................... ....... .... ReceiptNo..................................................................... ro 'I N o c:l - 0,, v. _ (D �0 0 o r, `n cJ , -« � G 7 n (� J -c� x CD 0 W cD =; = Q - O %� ns Q i i� N - F (D O 0' o, n (� C (4 �" O zsN(L o ?. � oCD o�� r (-3 �' cD o 0 o a 3 c c�D O zr N -r (D 0 C n _ -+ (D O CT 4 O n cD ?I A � c� N � Z 76 A � 0ll a � r a 171 Zj 7 oG O Z; m N Z � m � C s �4. '( 3 -or)�z pv�PY4/ /e Y, oro -OL 11 1 b QL- Sr- n d Y\ IV. a d -I 0 � -ham e c �) r. .. r_4.:T:v�a...+µi,cF-z•'S.'-�i;'s:- w7'iT'^:. !!5n-ryv. _.i•"'u." , — -..- 063-160-004 PERMIT#98-0168 BOVEE, Sheila 15293 Forest Ranch Wy,Forest Ran( Cont: Jessee Htg & Air Gas Line/MH2 /31 I aaA %4D I OFFICE COPY i Address GAS M Da RCMeter ELECTDate el- • p ! fit �i FI COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUIL GPERMIT OWNER SHEILA BOVEE q��' 68 SO. FT. OCC. BUILDING VALUATION OWNER'S MAISI7IS REST RANCH WAY ' CONTRACTOR'S flgbSEE HEATING & AIR TN�i926 CONTRACTOR'S ILI ) . bate Ln 95928 , CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 15293 FOREST RANCH WAY Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP 44VPLUMBING PERMIT Fling Fee 20.00 T USEOFSTRUCTURE ' iki � SF `O Duplex ❑ Mobilehome A Other r SPECIFY ,,,r KE-e~ch!Trsp 7.00 �_r lrSola or heat um water heater 23.00 'Water piping 15.00 Each gas water heater or vent 15.00 15,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other f a' Describe Work: L ADD GAS LINE "' �'� L'�iw1 f "h ' Gas piping system 1 - 5 outlets 15.00 5,00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ n ELECTRICAL PERMIT Filing Fee 20.00 EOOV OR LIE Main Service 2ooA 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 i full for e and effect.POWER License Class n� 4 Lic. No. 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. ❑ 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 a d policy number are: Carrier 5'o -L-- PA (-VA I/1-, 1 Policy Number i t ). , , i- .-pj- (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 thosC�rovisions. ( .ofp )i %/ . I/ i' Date Signature o' pplicant =`❑ wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �� g Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING so G O OR ADDNS. ( d A.C. BLOS. 3.5¢FT. NON-RESIDT MULTI.OUTLET 97,50 APPARATUS b SINGLE OUTLET CIR, Ex. Occup. OUTLET OR FIXTURES 2L %''00 BA50 Ex. Occup. OUXTLE7g AESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 1 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home installation Fee $ Energy Inspection Fee $ ' occ CONST. TYPE TOTAL FEE $ 50.00 HA2. D. FEES IMP I FLOOD CDF pARC0. pD HD ISSUE This permit is hereby issued under the appilcable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date n. CSG PERMIT EXPIRES ON �+ - 3 `1 Date Receipt No. ?-Z-Qq --� I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �- COUNTY OFlEJVTTE ` BUILDING��VISION DEPARTMENT OF DEVELI SNT SERVICES 411 Main Street, Chico, CA916) 891-2751 7 County Center Drive, Orovillef.CA - (916) 538-7541 A CORRECTION NOTICE 40vCe OWNER k PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ;0 e'!:::> C//AL Z"� A" Date Inspector REV 10/92 f r' 0 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Californi?i 95965 - Telephone (916) 538-7541 ' P ERMIT .NO. (Rev. 12/96) APPLWATIbN ASVD PERMIT l 6 ASSESSOR PARCEL NUMBER ZONING BUILD G PERMIT OWNER SHEILA BOVEE TUM68 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SS 1529 FOREST RANCH WAY DDNTRACTOR JESSEE HEATING & AIR T961 "4926 CONTRACTORSMAILING S. Gate Ln 95928 CONSTRUCTION LENDER 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 15293 FOREST RANCH WAY Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF fDuplex ❑ MobilehomeA Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherA Describe Work: ADD GAS LINE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service AORLLLESS 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 i full Or ed effect. License Class fl LIC. No. 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempbpnder 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'.cornpepsatlqa d _insurance carrier a policy number are: Carrier �7CJt9 CUDIVL'il �-. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC OR ADONS. ( 8 ACC. BLDS.UP. SO 3.5¢FT. NEW CONST.MULTI-OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OccupOUTLET OR FIXTURES 20 @''00 BAL @ .SO Ex. Occup. OUTLEETS AES 6.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number _14 V) r � (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�3 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 with comply with tho rovisions. �] t _ Date P pp'cant - caner ❑ o tractor ❑ Agent WAnOSrmit is required for excavations over 5'0" deep and demolition or construction�398 over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPETOTAL FEE $ 50.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By ^^ Date G PERMIT EXPIRES ON d ' 3 "'9/ I Date Receipt No. Z 9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev_ 12196) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT APPLIC010NAND PERMIT ASSESSOR PARCEL NUMe01/ bo �.DOt. 1 `u Zo�_ BUILDINGPERMIT f`I TCLA"ON/ 343'w t.8 SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S IMM! T0.EPN0 � �TJO s a 6-Gc�fA 5—y., coNrRAcrons MARJIJ 45 CONSTRUCTION LENOER Fre Ince UNG ARESS LENDERS MNDD Total Valuation i ARCHITECT OR ENGINEER LICENSE NO. FilingFee S 20.0 c Permit Fee S ARCWTECT OR ENOWENL's MAILING ADDRESS Plan Checkinq Fee S OURDINGADORESS (L f 1 /62 3 CJ/Y`rv1 w Energy Plan Checking Fee S $ PERMIT FEE $ tDT NO. susol 10611 mum PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF/I< Duplex ❑ Mobilehome O Other sPecsv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent L15.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities O Installation O Other Describe Work: a Gas piping gstem 1 - 5 outlets 15.00 16, Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE t . DO ELECTRICAL PERMIT Filing Fee 20.00 eoov oR LE Main Service sow oR LFssss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 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. O 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: ❑ I 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. O 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.) 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 Code, I shall forthwith comply with those provisions. X Oat@ Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over S'0' deep and demolition or construction of structures over 3 stories In height. Main Service xw TO IOOOA 46.00 NEW CONST, oweulNo Occup. so OR AODNS. a ACc. OLDS. 3.501x. NEW CONST. NON-RaMULTIID, CIRCUris OUTLET 07,50 POWER APPARATUS a SMILE ouTLEf CIA. ourLET on FwLIREs 2O ®I.00 Ex. Occup. e" .eo FDAPPLNS OR 5.00 Ex. Occup. ourLErsD(EESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FESS Mobile Home Installation Fee S Energy Inspection Fee S OCC CONST. TYPE TOTAL FEE $ SO .QQ NAZ. D. FEES IMP FLOOD I COP PARCEL PO ND ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 0-6 ReceiptNo. wwrE•0.0.a.-9.0. CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO•APPLICANT s .A 'e'afte Count L A N D O F NAT U RA L W EA LT H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 R. D. ROBBINS CONSTRUCTION FAX: (530) 538-2140 P.O. BOX 734 FOREST RANCH, CA 95942 Re: Building Permit # 98-1230 Expiration Date: 07/08/99 A.P.# 063-16-0-004 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: [X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the QRnVTT.T.F office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. Building Inspection MCV:It Attachments Chico Office - 411 Main Street, Chico / 891-2751 Nov -05-97 09:50A wbdc;;;, P.`02 Do vee �g MAAWb . APA Certificate of Conformance Certificate 051340 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products Identified below and marked with 'a collective mark of Engineered Wood Systeme (EWS) were man- ufactured in accordance with the specifications indicated below. XX ANSI Standard A190.1-1992, for Structural Glued Laminated Tltpber 1 79,5 IS 7'0 c TiFj� 7-M,47` r#--"_ sXP K/3'a 64044r> f_l Tip TSF /e l��,� j�tJS iT f�T a 7=oiZEsr /�y�N lr%gY I11 of s r ,wnq y i''�EF KS CA) q� �S 0 � F- t�¢ ,4��5d4 Job Name WESTERN^ QBUYERS IN_C. J�_._�.•_,,��, r , 1_. Job Locatlon wto ELK GROVE, CALIFORNIA custamer'sordorNo. WB -98516 ogre _ 9/11/97 Mfgr,'ao;de►lJo. 09-05550 DOUGLAS FLRLj.ARCII. EXTERIOR GLUE, 2400F -V4, ARCHITECTURAL APPEARANCE, ' INDIVIDUAL WRAP, ENDS 8 SIDES SEALED,ZERO CAMBER. Signature _cCaw+-l�eP ewe. — ...__RII�GN RO�SUPERYLSQii Cwmany_ BOISE CASCADE CORi}miirese P. 0. BOX 50 BOISE, ID 83728 Vale .__ 9/26/97 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named manufacturer which carries a collective mark of Engineered Wood Systems (EWS) Is subject to regular audit by Engineered Wood Systems, such audit consisting of the inspection with reasonable fiequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and I the adequacy of glue bond. /.,. �"• - _ by , Thomas G. Williamson i Executive Vice President ENGINEERED WOW SYSTEMS- A RELATED conrORATION OF APA I MEEKS ITHE BUILDER'S CHOICE 1100 E. 20th Street P.O. Box 689, 95927 Chico, CA .95928 Art Fane . Phone 916/342-6335 Contractor Sales Fax 916/343-1158 i< `V S 063-16-0-004 98-1230 BP EM -. RESIDENTIAL BOVEE, Brian, & Sheila 15293 Forest Ranch Way,"For Rch (addition) R.D. Robbins Const � f f PERMIT NO. ` 1 PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL `LOCATION J `t r f t r 1 x CHECKED BY SRA I FLOOD CERTIFICATE REQ. r FIRE SPRINKLERS REQ. ' SPECIAL INSPECTION ITEMS VERIFY P Temp. Power Pole Called PG&E i Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) a / E Signature— t V = OK. O = Not OK ' = NotApplicable Ready NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch -3. Sewer; Location -Test -Fall -CYO -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ / L"ft./ : /LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance 12. Braced Wall Panels 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 Cert. 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-Dep"pacing-Connectors-Steel Date Card B-1 Date Card B-1 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ' 7. Electric 8. Fr mg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 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 ✓ = OK O = Not OK - = Not Apl * = Not Re< Date 1 ,UNDERFLOOR (Plans) OK except RESIDENTIAL (Single & Duplex) 2VTtg., Main; Soils-Elec.'Gmc6-/ C1" Ftg. Depth 3. F4 Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth ID 4.1,VA. Porches & Decks; SoilsSteel-/ P Ftg. Depth mwalls, Main;'Steel-Blockouts-Wrapped S walls, Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Pie place Ftg.-Steel O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. G ; Size Anchors - Yard Gas Piping; Size Test 1 Ater Pipe; Test-Anchors-RegulatorService Test 12. Electric Underground 13. ums & Ducts; Clearance -Material upport Ins. 4. rsSills-Anchor Bolts -J ' entsCrippies 1!. ss & Ventilation 1 Insulation Date Card B-1 Date Card B-1 Date r' Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Wa ; Test & Anchor -Nail Protection 19 ..; Test Fittin c or -Nail Protection 2^'__r Pan; 15rst, First Floor -Tub Access M. !2±!b & Shower, Second Floor -Tub Access 22/'Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date _, L TRICAL (Permit) OK except #'s -ZT_ Sits Proper Materials & Anchors Fox ansformer Clearance -Ins. EEglection Walls Studs -Nailing Spacing & Braces -Plates -Sound 2 . . Receptacles Spacing -Li s & Switches at Doors 43. 2 . Size es & No. of Conductors Stapled Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 26. Ko_%%Aestalled Close to Edge of Studs & C.J. 27. tquip. Ground made up w/Mech Fastners-Bond Gas & Water 2 . 29 vcuts in Kitche ze/ ga. Cu or AI-A.C. Wire / ga Cu or Al 52. u or ven it . or Al Insulated Neutral 0 Yes p No 3 . nett 32. Clearances Panels-Motors-Mech. Epuip. 55. Clo Closet Light -Shower Light Spa Light 4. oke Detector 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date -�'7 : and B-1 Date Card B-1 Date 59. Card -1 Date Card B-1 Date 60. ECHANICAL (Permit) OK except #'s . ucts Insulation & Support . Ve n, Exhaust above insulation 37. C e nsate Drain & Overflow, Size & Grade Date 38., Fu ce-Vent Access -Comb. Air-Retum Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits 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 Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3Check 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. She r Walls; Nailing -Bolts 60. Kace Interior /Exterior Wall Panels . Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows - - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. 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 & Recepticales 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 -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 0 Yes 82. Following Instid./Drive Q Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes 0 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 Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DMSION, OROVILLE FROM: G,oe,-rle� +�y , ENVIR. HEALTH, CHICO DATE: G -P -IF9 RELEASE ENV, HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME• SEPTIC: >< WELL: APO: l 3 - /60-'60¢ ADDRESS/LOCATION: can: a/ma mandmabold /sz S32I- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 99-1 30 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 47-2&9S Inspector REV 10/92 COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE Toles 91r - I ? 3 0 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work I , 1 Date �?- Inspector ()- REV 10/92 COUNT`,( OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ E R r0• (Rev. 12/96) APPLICATION AND PERMIT Q ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER BRIAN AND SHIRTA ROWER TELEPHONE 143-7168 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 ROX 168, FOREST RANCH CA 95942 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS P () 'ROY 34, FOREST RANCH CA 05942 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARTOg,�r�i�¢� DEVELOPMENT LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 343 ARCHITECT OIRi ENGINNENERS MAILING ADDRESS 387 SUITE A, CONNORS COURT, CHICO Plan Checking Fee $ BUILDINGADDRESS 15293 FOREST RANCH WAY, FOREST RANCH Energy Plan Checking Fee $ 2300 $ PERMIT FEE S608.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 1.00 Solar or heat pump water heater 23.00 Water piping 15.o0 L5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ADD 18 X 40 ADDITION, FAM RM BATH Describe Work: RnnM AND RF.1)RCI(1M Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 55.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoAORIESS 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 II force and effect. 2 License Class Lic. No. �pJ IOOgZ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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 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 Main Service 200A TO lOooA 46.00 NEW CONST. DWELLWCi OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO 3•50FT. 5. 20 NON-REESIO. MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. CUTLET OR FDRURES zo @ ,.00 B4L Q .50 Ex. Occup. OFuc R= ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 45.20 MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th se provisions. L q X _ Date p z "` O Signature of plicant - ❑ Owner Contractor ❑ Agent An OSHA p it 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 $ 46. on cc 4 CO T. TYPE TOT F E $ 955.15 D. F IMP D CD PARC pp D ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been ByZZ�I�4fDat7 PERMIT EXPIRES ON —7 D provisions to do work paid. 1101W to Receipt No. 23 890 282.95PC % ) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT r.=tf�r�vr:�'r"^{,:r.���`C=t�`�.�+''�y�•vet;jr'`v-y`�,y�."'�"'.�ytii'w�.,gre.rx,.�t('.;;�I%'��'y'iP.���, '.r �r ��t+'`.:����`�t•'�+l`.'a�r'�'�,itili3��':.�+�"�_•� ���� t,�,,,�1�. `, ,_� ., V. a COUNTY' OF BUTTE DEPARTMENT)OF DEVELOPMENT SERVICES - BUILDING DIVISION , 7 COUNTY CENTER DRIVE, �OROVILLE CA 95965 TELEPHONE (916) 538-7541 , SCHEDULE OF FEES DUE OWNER /2-1 ?(i A.P. # v� "f� J �g PROPOSED BUILDING USE DATE 6 • r' REC # DATE REC `a<51. BUILDING PERMIT FEES M,zo -- Balance Due ...............` . $ -- Additional Fees Due ........... $ -- Additional Fees Due .......... Jj $ -- Revi ed- Plan Checking Fee .... .. $ 2. SCHOOL DISTRICT FEES C -P C (paid at District Office) s�. 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ 1 Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) #e7_� .SRA FIRE INSPECTION AND PLAN CHECK 89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE / $2500.00 (paid at Building Division) / 10. OTHER `ztf-F4-L At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT4;�WwRZDATE Original -Owner Copy -Build' g Div. (Rev. 12/96) a COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: f J 2 1 -/—� /7p 1i 06 ASSESSOR PAR2hpan-hmitted ER: /(J — Proposed Building Use: � �j &1— Building Inspector: Date: --/ Z - At time of permit application, I was advised the following data must prior to permit processing and/or issuance: A Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------- - 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete 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. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ actured Home data and installation instruc 0 lu ing Tie Down Specifications. ------------------ Fees of $ �, i 2,6--------- --jl---1--��--------- — — -may----U��--------- aYl-Impact fees as shown on the attached schedule. ----------------------------------------------- California Department of Forestry plan approval/fees.--/S�f----------------- ❑ � elevation certificate.---------------------------------------------------------------------------------------- "man -------- ------------------------------------------- maanitation and plot plan approval[ 41 CO Health Department. - U _ —1 - %------------------- ❑ 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. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 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. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- Wh�y� issue permit, process as follows ❑ Mail to owner, ❑M i to contractor. rJ Telephone 3S^ 7—f and hold for pickup at �i �� office. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: inspector. Date: By: 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, ❑ Buil vision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Date) E.H. USE ONLY Plot Plan Attached Yrt Floor Plan Ached Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Sayee /Sz93 Fvye5y4 %t'u,,,alr Gvy X03-/60-004 Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public >C Private Well Clearance for Other 1774x`a- 6dr . 6A,f4. .I'7 Mold final for: 5,A�- Final clearance O.K. for: NOTE: C, ,� � /�J• / z ,.- Environmental Health Specialist 8/96 Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 6h � C V U V\ (('"I EC) Building Department No. A.P. Number 0603 —1 bO `0 — 1 Jurisdiction: City 12fr -County Property Owner( Property Location/Address Subdivision 1 �/� Lot No h lfr-' v r - Residential Development ® ® Sq. Footage 7 0-0 No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building (Floor Plans reviewed by School District Personnel) District Identification No. ql� OLD 0 L% :) i ,� j --�� School District certifies that 17 A/71 (Street Address) has complied with the requirements of Resolution No. representing 11( 0 square feet. School District Paid by Check # ( Remarks: NA Date (Applicant) (Phone Number) (State) j (Zip Code)(a; by payment of $ B 2926 $ ULL MITIGATION $ D to Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental.nuality Act (CEO:A), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` , t 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541rte, �P E�nhT NO. (Rev. 12/96) APPLICATION AND PERMIT d sy ASSESSOR PARCEL NUMBER©/` 3 — / 6,0 _ ZONI BUILDING PERMIT owNE TELEPHONE 31'. -76th SO. FT. OCC. BUILDING VALUATION _ OWN 5 MAIUNG ADDRESS 070. 0 Sb T e rz COMRACTOR'S RIO.E W L1967, TELEPHONE 4'S 3Sz5 CONTRACTORO� DgS � CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER\ L UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 34-7 --- ARCHITECT OR ENGINEERS MAILING ADDRESS ffl % SU %g- > Plan CheckingFee $ iZ Z u BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT (ling Fee 20.00 USEOFSTRUCTURE SF fd" Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each ass water heater or vent 15.00 TYPE OF WORK New ❑ Addition 9' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i0 9 lg,,r 410 AW1 /76V e"_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE ELECTRICAL PERMIT Filin Fee 20.00 800V ORL Main Service ao..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: ❑ 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. ❑ 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ADC. BUDS. O 3.50FS"r r NON-AES"o. MULTI -OUTLET @7,50 OWER APPARATUS a POWOUTLET CIR. Ex. Occup. OUTLET OR FOCTUREs 2O 4''00 BAL SO Ex. Occup. DU7ED g AES p,DE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Pee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Of Energy Inspection Fee $ — Occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD I CDF P CEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date/ Receipt No. WHITE-O.D.S.-B.O. A ARV -A ES PINK -INSPECTOR GOLDENROD -APPLICANT