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HomeMy WebLinkAbout065-300-02165-30-21 ' ERNEST HELBING� € 14753 Wildlife Dr,lot-77; -S O��I; Permit#3447-82',B(new carport) i �-- 065-300-021 03-1269 MOLET, ROBERTO 14753 WILDLIFE DR, MAGALIA COVER OVER EX DECK _ B08-1054 065-300-021 MISCELLANEOUS Permit to Complete COVER OVER EX DECK (REPLACES 14753 WILDLIFE DR MOLET, ROBERTO & AIDA 0 ' f a' I' 65-30-21 ' ERNEST HELBING� € 14753 Wildlife Dr,lot-77; -S O��I; Permit#3447-82',B(new carport) i �-- 065-300-021 03-1269 MOLET, ROBERTO 14753 WILDLIFE DR, MAGALIA COVER OVER EX DECK _ B08-1054 065-300-021 MISCELLANEOUS Permit to Complete COVER OVER EX DECK (REPLACES 14753 WILDLIFE DR MOLET, ROBERTO & AIDA 0 ' 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FEE INFORMATION DBOMSC Supplemental Inspection $118.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/05/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; C crier: Policy Number: Exp. Date: ( is section need not be completed if the permit is for 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 the Workers' Compensation Laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� 06/05/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip $118.98 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one Ky ar of completion, the owner -builder will have the burden of proof that he or she did not build or mprove for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law down not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Signature 06/05/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coirnly, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the grope ypwner or authorized to ton the property owner's behalf. /� _ 06/05/2008 Owner ❑ Contractor OR E]Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 14753 WILDLIFE DR Owner: Permit NO: B08-1054 APN: 065-300-021 MOLET, ROBERTO & AIDA Permit type: MISCELLANEOUS 14753 WILDLIFE DR Issued Date: 06/05/2008 By KCG Subtype: Permit to Complete MAGALIA, CA 95954 Expiration Date: 06/05/2009 Description: COVER OVER EX DECK (REPLAC (530) 873-1744 Occupancy: Zoning: RT -11V Contractor Applicant: Square Footage: MOLET, ROBERTO & AIDA Building Garage RemdUAddn 14753 WILDLIFE DR MAGALIA, CA 95954 Other Porch/Patio Total (530)873-1744 FEE INFORMATION DBOMSC Supplemental Inspection $118.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/05/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; C crier: Policy Number: Exp. Date: ( is section need not be completed if the permit is for 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 the Workers' Compensation Laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� 06/05/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip $118.98 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one Ky ar of completion, the owner -builder will have the burden of proof that he or she did not build or mprove for the purpose of sale.). I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law down not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Signature 06/05/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coirnly, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the grope ypwner or authorized to ton the property owner's behalf. /� _ 06/05/2008 Owner ❑ Contractor OR E]Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name FirSt,NO bma e._t , OC . i Mailing Address City Ma Q . State Zip 469 Phone _ -7 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AN ()(0 Property Address City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper pen -nit 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 $500 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 government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PPWE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES O 2. 4 (HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME d2 AL_ Loy/ E ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: COVER OVER EX DECK (REPLACES BP03-1269) Reference Number: B08-1054 Applicant Name: MOLET, ROBERTO & AIDA Owner's Name: MOLET, ROBE O & APA? AP #: 06-02�� Signature of Property Owner: Date: N//6 .'. J' 1'. `Tu �) .ter.-.�. '•k+: ..1 y ��ie: :rq •r' tet: v Y [ Y:•. i\ 1 n.: Y.. :z 0 �/r :x �e+ J WA r1. it -Wagy mill qAw 1420)0 a. I' �. r' e, < e ..E a:. :F. S. : (Y H" I tE .t S ti A.y:. 3 r- •0. i�C:`���v ttItF %Jr •y?A 'l �F ' -C1 , : (� :1 Y t' = SSi1: r; '1>`•': if �:t,v 14• t. a E.:. i P.: F �pp 4 1 l'A t W TWO Sa 1` f. ;f t a. Wt.'r t:ova SM U. i.� r ts' 1 ) - own"4=t 'f .y:rr na ,p �''T J _ „�,a 3%' •: =r. - t ,•r . --fi `,'• as A. 3!' r .t x. .•y-rfe :i , „S ,F ftj =a, is ;td•., C. bn r t.,. .t= r.. U et s T �f , 1� A 'f.f,fq :. - .(•, '( At LU :j 1 I �> rl vn "v '.1 • 3? d;• 1 t t l'. 'rT v`� R a•1 }, 'r _ , s >K ' s \. xY �1. ,l. �n Y Y L +• t� G ®9 ,;un r ,5=,v .cc • Y• T r rY. .r s <•..:.. M "r" y •3i-%% jY -a. - 6�1 yaw `t-+irtvn' ...Lt +ilr `if , )•i:� � �T: may\. —✓•Se's'', .1 P J`3 - '�tl••. L '3• J' b i � �T --x• � ' e !ia ^ p aai C h .w a r.: t a... LU C3 gm JT r .. ,.-,.., ..a..;. ':.: ::tet'• -vr , • 'r s�•u. .q: a .:r t: - .' i 1 . .. .... ,. .,,.: ... .l. \.. r . _r - .. Y` ara: r GtVAX ls :n rF c. L. - .. - s: .: ., .. :.� .. •� .: .. ..•� ... _ ..f,'01AT49=1 .. .. .. ... ..., ,. .. .. ..... .. .a ,. ... ....:� `ice`^:� _ t.. t: r %f -rv. i ,Pot .tom . - ' t PERMIT NO. _ 3447-82B PERMIT EXPIRES t OWNER BEST HELBING CONTR. owner ASSESSOR PARCEL 65-30-21 LOCATION 14753 Wildlife Dr,lot 77,SDQLLBA& ' Cn.P ryoa/� 'r 1 S N N Temp. Power Pole Called PG&E Temp. Elec. Service ry Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Z Signature J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- 4 /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / ' /" Ftg. Depth " . 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr, Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ B. D.W.V.: Fall-Fittings7Test-2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test _ 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. - 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's Date FINAL (Plans) OK except t1's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above. Floor -Ducts -Meeh. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. _ A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. __ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga, Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -__ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish ____29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light - 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.' ----------- --- - 79. Water Well; Disconnect, Electrical, Plumbing ------ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I _ Date_Card-BI Date Date �- Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr,it) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -_ 31. A.C. Ducts: Insulation & Support 85. 86. Water &Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. 33.- _ Vent Fairabove Insulation _ Condensate Drain _& Overi low; Size & Grade ______34. Furnace -Vent; -Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card -BI Date Card -BI Date Card -BI-_- Date -- Card -BI Date _Date Card -BI Date Card -BI Date Card -BI 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. 3B. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__- - Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ _ _44. - 41. 42. 43. 45. Header & Beam -Size & Bearing - --� `_-- Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties- Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles -- 46. Bdrm._Windaws or_Exiting Doors -Sill Hgt. & Dimensions_ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK Not OK = Not Applicable MOBILEHOMES MISCE NEOUS = Not Ready / Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, C RS, C S, ETC. (Plans) OK except ft's 1. Zoning Requirements—Setbacks—Easements 1, g Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. ootings; 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 ood 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"fl./ /"LPG V, Carports; Windows—Doors 7. Utility Clearance 7. Elea Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date i Card -BI Date to Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date _ OOLS (Plans OK except it's 1. Zoning Requirements—Setbacks—Easements 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 5. Drain; MH Test—Fall—Flex Connector _ 4, Elec.; Receptacles and Lighting; Distances—GFI 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 Lghtg. 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 -BI Date Card -BI Date Card B-1 Date Card -BI Date Card 3-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPA.DTME.4NT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. -0 ASSESSOR PAR EL NUMBER ZO ING -- 30, 2 BUILDING PERMIT OWNER T L PH074 E SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS' A CORA TO •S NAME ELEPHONE A �. t^_ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Z-5-20 V Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ p'clo ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$• Penalty - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ j BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 0 +E PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE Al SF ❑ Duplex❑ Mobilehomegi Other Cwt to �Pg. rj 5PEC1 FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [y Describe work: /4— X ,3 D C�R ����� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5,00 Main service EA. ADD'L 100 AMP - 2.50 NEW CONST. OR ADDNS. �ACCLBLDGS.LING CCUP.m' / 20sgft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No.' Classification [ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, 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 1.OUTLET NON-RESI D BRANCH CIRC TS 2.50 ea NEW CONSTR. POWER APPARATUS D) SINGLE OUTLET CIR, . ExOccup OUTLETS OR FIXTURES BAL�1 ITLEXED APPLNS. OR EX. OCcup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I* shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice o Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, and a penses which may in any way accrue against ounty i s quence f e r ting of this pe mit. X e Signature of Applicant — Owner Contractor ❑ gent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE --- J —0 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I,�r v/ 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for wh' h DIR OR OF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 0-1 Date r� "�jl Wim ) over (r3 Receipt No. LS W �, WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT To: Building Department From: Environmental Health Subject: Sani.tation'Clearance Was Owner Plans approved for: Hold final for: Location Sewage Disposal — Fi.nal Clearance O.K. for: Clearance for 2-- bedroom mobile home. Clearance for addition of 2/Y•�-` Not S i ari.an 20- 2111 AP# Water Supply' Water Supply Water Supply - Other y /9AP Ljie,,. Date •4.I��..-�. ,,..5 ..— �•'"..+ � ..... ..�.-.—..,•r-.—.`...:..r.t.,=.,--�«.�:..s-=�'�:5,�..L-ti]-,."*^Si[`c,-••" ��ri: rM.. �;�.s y�.j�.. yi COUNTY OF BUTTE -,.DEPARTMENT ZF PBLIC WORKS - BUILDING DIVISION ?—�'•a .' '7 COUNTY CENTER DRIVE-`OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �iV '" A . L_&AI A. P. No. [O.S JU Proposed Building Use (_BAR 7�0 (Z-7— Permit Z-7-Permit Fee Based Upon: Complete Contract Price N DPW Valuation Other �(Explain) Building Inspector 1�v 1 Date 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. . . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 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 18. Other When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office Other Date) Mail to contractor. _Deliver w/inspector. Applicant 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 Copy—DPW r° ^ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mterials for construction . of the proposed property improvement (yes or no) '��_S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed cons truc�j� on: Name // o na /° Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to oordin2ae, supervise, nd provid the major work: Name [-r P.! iP r 1. -1 Address - city Phone Ttjq-- q 9 Contractors/License No. A>�D 3 Al 1,o 3 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name. Address- _ 1. Phone -Tvne of Work PropertyQ, igned: eap daa� 1_ `� • 1 — -r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. . i �n r. fS t �* ly Cl G .. .. 6 - 1 1 BUILDING DE?ARTMEW APPROVED r-) 4- pa zlffi- A4 t.294 Ties ot, �novjde adequate bracing. CA, -f #UITE COUNTY & BUILDING DEPARTMENt' >1 APPROVED COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT- SERVICES.- .411 MainStreet -Chico, CA * (530).891,*2751 7 Cod* Center Drive • Oroville, CA i (536).,538-7541. CORRECTION NOTICE,1.... OWNER PERMIT NO... A routine inspection indicates that the following'violations of butte county. rdinances exist at the above address and should be corrected. Please notice this dffic6.whdh correction of,work is....'_,: completed. If you have any questions pertaining to this matter,'6r need.. additional explanation, please contact this office immediately. Date REV Inspector.4 9OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 38-7541 P IT (Rev. 12/96) APPLICATION AND�PERMIT ®3- 17wq ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS MAILING KESS TZID11FLE DR., MAGALIA. CA 95954 CONTRACTOR'S NAME TELEPHONE GOV14753 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ sro ARCHITECT OR ENGINEER LICENSE NO. —Filina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 94-09 BUILDING ADDRESS �793 WILDLIFE Energy Plan Checking Fee $ $ PERMIT FEE $ 81.05 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVER OVER IBX DECK (-6'X 20') Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WF 920.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Feel 20.00 vo Main Service 2o0A 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 w for the following reason: 9 [,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. 0 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 WORKERS' COMPENSATION DECLARATION ereby 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 t (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' comp nsatio provisions of section 3700 of the Labor Code, I shall fo ithCom y wit se rovisions. i 0J—/0 //03 Qn—aturof licant - wner ❑ Contractor ❑ Agent An OSHA permit is require f r excavathVirigi over 5'0"dee and demolition or construction of structures over 3 s ories in hei t. Main Service 20DA TO 1000A 46.00NEW CONST. DWELLING OCCUR so 3.50 Fr: ORw DN.. ( vAOTco� No1FRESID. U @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDcrURES B20 0 "00 FIXED ALNS Ex. Occup. ouT RFSIo.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE i= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 81.05 HAZ. I D FEES IMP O CDF p�EL pp HD ISS 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 D%ate S/ PERMIT EXPIRES ON S/r Q Dete Receipt No. WHITE-D.D.S.-B.D. CA AR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (53;0) 538-7541 P.�g T N APPLICATION AND PERMIT V/ � '120 ESSOR PARCEL Nu_ �QQ '� ®I ZON1NO BUILDINGPERMIT /J _ R� SQ. FT. OCC. BUILDING VALUATION SIMABJ-K AD: f /�l� 1! 1 f C.L �— ^ / �/, /C-/ �ONTRAGTOR'S N4ME TELEPHONE TORS MARJNO ADDRESS ...TION LENDER Fireplace LENDER'S MNUNG ADDRESS Total Valuation S C] ARCMRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee b - 0 6) AACMTECT OR ENONEERS MAIUNG ADDRESS Plan Checking Fee s a y e s BUILDLNG ADDRESS/ J Energy Plan Checking Fee S ' .3 PERMIT FEE _ ) LOY NO. SUBDN6IDNSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each *p 7.00 USEOFSTRUCTURE SF ❑ Duplez ❑ Mobilehome Other SPECPY Solar or h at um water heater 23.00 Water piping 15.00 Each gas water healer -or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑. Other 7�� a Describe Work: Nl i �--t Cti� Gas piping systern t - 5 outie 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 e00v OR LESS Main Seryl zooA OR LESS 23.00 l l V / S� >� S%ey. O � ���/ `J /��f cc J 53 J • �� •'��� Nkw1 L4ex, � Main Service 2MA To Io00A 46.00 NEM/ CONST: / DWEi1-10 OCCUP. 50 OR ADDNS. \ i�AGC. ows. I 3.50 FT. NEW CONST. MULTFO,UTIET NDN•REsro. @7.50 POWER APPARATM E stmoLE ovn.ET cal Ez OCCU OVTLET OR FIXTURES " '9' l.ro EC. OCCU . VTIETSD AP IDES .)EEA Tem orar Service Mobile Home Faci{ities W20.0D Wise. Wirin PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee $ Energy Inspection Fee $ oc` CDNST. TYPE TOTAL FEE $ NAZ. D. FEES IMP FLOO CDF PARCEL rJE 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 Palo) u (� 6 7 . sv �P 3390 _ 00 0° t . m f i .f r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Plan Attachod Floor Plan AtMcl d Sana to 8.0. Owner Location AP# Plan Approved for: Sewa I X Water pply: Public P ' to Well Clearance. for dw iling. Other r _ 1 + k Hbld final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 e PERMIT APPLICATION DATA SHEET OWNER: ASSE SOR PARCEL NUMBER DCF ✓ ���P �� Q/� ae �j Proposed Building Use: L�[//l. Counter Technician: Date: �P3. equired in order to apply for a permit. All boxes MUST be checked OR arked NA in order to apply. of plans, 3 or 4 sets, signed by the preparer of the plans. omplete plans, 3 or 4 sets, signed by the preparer of the plans. gineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! "" ❑' S. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Y�} J Items required for initial plan review. If checked items have not been received, plan -review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ! Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... O 11. Detached Accessory Building Form filled out by the owner ........................:............ ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other t Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ *Fees as shown on the attached Schedule of Fees Due Sheet ...................................... IS Statement of Intent for Non -heated and A/C Buildings ...........:..:.:.................. I IM 16. Sanitation and plot plan approval from the Environmental Health Department in V�'1" V U,v - 17. City of Chico Plumbing permit ....................................................... *. ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ...................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .......:............................ ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits. * ........................................................ ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of acts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of a above items and quirements for obtaining a building permit. Applicant: Date: 5 1. Index permit application for the above items numbered: 2. Additional items required - Plan Check Letter Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: AMA Date: Note transfer by: Date: Yellow: Building Division I&, wv.-- -- - �.. nfVED 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. I personally p an to provide th ajor •labor and materials for construction of the proposed ro osed property im ovement : YES NO 11�2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: PHONE: 4. I plan to. provide po ons, supervise, and provide the j NAME: - PHONE: 5. I will provide some of the work indicate NAME CITY: _CONTRACTOR'S LICENSE N this work, _ but I have hired e following person to coordinate, NO. ork but I have contracted (hired) the fo g persons to provide ADDRESS PHONE TYPE WORK SIGNED: PROPERTYOWNER: NOTE: DATE: 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 cant' 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. rely, ' Mic el C. Vi tc .B.O. M ger, BuildInspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. E.H. USE ONLY Plot Plan Attached Rear Plan Anochad J. sanvia s.o. 44 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -� w ► iCA 1► �� mss- -��. Owner Location AP# Well Water Supply- Public, -K P •ivate W Plan Approved for: Sewismc��X-- Clearance for _ dwelling. Other A 0 -1 -V -.. "I \ir - le ri-<-e 1 , C-1 r V Hold final for: Final clearance'O.K. for: NOTE: . I. I t A / '\ - Environmental Health Specialist 8/96 . . . . . . . . . . . '1?2 O Date �UUJ a20: �m '. ; ;' �W�Jt 1 t$U I I t UUUN I Y KtJIUEN I IAL PKUPERTY RECORD 1'� 7 © SCo SHEET A. P. N. Book Page Parcel '''✓. i r I �^- C. 16o Use Code: Homogeneous ❑ Heterogeneous ❑ Court ���rl "r+ �� - .~"": _ �- - - PROPERTY LOCATION: 161Sales Area Code: ❑ Asph. Predominant Use: Res. ❑ Res.lncome ❑ Motel St. Lights: - ( 162 Appraiser No: RCLND COMPUTATION Coni'I. ❑ Indus. ❑ Agri. ❑ Profsnl. ❑ CONSTRUCTION RECORD CDU RATING Res. -Apt. No ® ; r' hIEIG`HBORHOOD,. & SITE DESCRIPTION TRANSACTION RECORD USE TYPE LAND VALUE COMPUTATION • ' % 164 Zoning: 165 Zoning Conformity: rOCAT[ON Date Price Seller & Buyer Source & Date Single Appr. Width- Mod. Unit Site Total 166 Use Conformity /Yes No ❑ -"Urban ❑ Suburban ❑ Rural ❑ ` Multi -591• Year Area Fact. Value Value ' •Value View ❑ Sector Peripheral ❑ Foothill ❑ Other ❑ Duplex A �✓ R.C.N. )T TYPE ,�' Apt. 1'� 7 © SCo SHEET OF I MPROVEMENT MIX Flat q C. 16o Use Code: Homogeneous ❑ Heterogeneous ❑ Court Natural ❑ E G A F P 161Sales Area Code: ❑ Asph. Predominant Use: Res. ❑ Res.lncome ❑ Motel St. Lights: - ( 162 Appraiser No: RCLND COMPUTATION Coni'I. ❑ Indus. ❑ Agri. ❑ Profsnl. ❑ CONSTRUCTION RECORD CDU RATING Res. -Apt. No ® ; r' 163 Incomplete, P.U. 19 ........... Permit Base I No. Item Amount Date Year TILITIES-SITE IMPTS. ADpr. Year Age Cond. Desir. Util. No. Units • ' % 164 Zoning: 165 Zoning Conformity: �. ix No © ❑ Water: Public ❑ Well ❑ Ditch ❑ _ C PO>r JnO ,y k, 1 REMARKS_4 wl 77 A 166 Use Conformity /Yes No ❑ Electricity: Yes ❑ No ❑ 'I Gas: Public ❑ LPG ❑ None ❑ Mixed ❑ Sanitary Swr: Public ❑ Indiv. ❑ P.frt. Storm Swr: Public Natural ❑ E G A F P Street: Conc. ❑ Asph. Dirt ❑ Gravel ❑ St. Lights: - Yes ❑ No RCLND COMPUTATION C & G: Yes ❑ No ® CLASS: Sdwlks: Yes ❑ No APPRAISER & DATE: • Item Fact. Area Unit Cost Cost Unit Cost Cost Unit Cost Cost 2END Misc. Extras First Floor Improving ❑ Stable ❑ Declining ❑ Second Floor Ito County 5.69 Assessment Year Appraiser Date R.C.N. R.C.L.N.D. Land Value Total Summation Comparable 1 '+ _ or Comparable 2 Comparable 3 Listed Price Sale Data Land Improvements Total Property Land Improvements Total Property Entered 167 Bldg. Class: 168 BR: 1 ❑ ❑ 3 ❑ 40 S ❑ 169 Baths: 1 . 2[:3 30 1/2 ❑ 3/4 ❑ 170 Base Ye ye - 171 Area: 172 Lan Type: Lot Acreage ❑ 173 Garage: Yes No 174' Pool: Yes I—I - No rl SUMMARY XXX 19 q d 19�� 19 4-71-2- r' /2r' --J,- o'BP3 I -- /-J e J —, ISAL CCUPANCY Owners ❑ Tenants Mixed ❑ Gar. A - D - F P.frt. AINTENANCE P-rea E G A F P P. Patio :AVEC TIME & DISTANCE Shopping: E G A F P AC Schools: E G A F P FP Core: E G A F P Kit. Extras Plmbg. Extras TE TOPOGRAPHY Misc. Extras Level 0 Polling J Other Flotwork At IxAbove ❑ Below ❑ Grade Slopes Up ❑ Down ❑ S -S ❑ View ❑ Sector o R.C.N. )T TYPE % Good =orner Intedor ❑ Key [:]Cul-de-sac R.C.L.N.D. ~ Misc. R.C.L.N.D. Total R.C.L.N.D. Ito County 5.69 Assessment Year Appraiser Date R.C.N. R.C.L.N.D. Land Value Total Summation Comparable 1 '+ _ or Comparable 2 Comparable 3 Listed Price Sale Data Land Improvements Total Property Land Improvements Total Property Entered 167 Bldg. Class: 168 BR: 1 ❑ ❑ 3 ❑ 40 S ❑ 169 Baths: 1 . 2[:3 30 1/2 ❑ 3/4 ❑ 170 Base Ye ye - 171 Area: 172 Lan Type: Lot Acreage ❑ 173 Garage: Yes No 174' Pool: Yes I—I - No rl SUMMARY XXX 19 q d 19�� 19 4-71-2- r' /2r' --J,- o'BP3 I -- /-J e J —, ISAL +sed Few Fair. Kitchen Fan Location: Room Floors Walls Ceilings e•Loy Avg. Avg. Hood Metal Stone .Story 1 2 8 Cpt. Hw. Lino. S. R. Pl. Pon. S. R. PI 'Acc Ex. Bm. a� le Slab v Many Good Range Brick Marble All 74 + r� s Recess 220V Oven Raised Hearth Entry idsill Spec. Rheos. Double Ovens Wall Hgt. .�,.u. •� --- "4 ;a_;R i� hr4,ij----- ,. '^14 ' „ t 6 Electronic Oven Free Standing ONE STRUCT: HEATING Drop-in R & o ator d. Fr C. Blk. Forced Central Slide -in R & O Shelves. ick Adobe fDbl. Wall Gravity Garbage DisposalOpeningeel Conc. Floor Perim. Dishwasher Story Radian Ceiling Refrigerator EXTERIOR Elec. Bsbd, Intercom GARAGE' Jcco Panel Gas 'Stat. Breakfast Bar Attached ding Shingle Engrd. P. P. Vacuum Cleaner Detached lake Asbes. Econo. Wel Bar Double & B Alum. 220 V. Oullet Single . Ven Stone COOLING Blender Carportq.J. dobe I" bds. Refrig. Central 880 Garport _ Blk Evap. Roof Desk Electricity Engrd. Wall O•. H. door(s) WINDOWS Econo. Wind. Remote Control Dr. . H. Wood Finished sml. Steel Wtr. Htr. Gals. != Finished liders Alum. MISCELLANEOUS STRUCTURES vrs. Leaded rank Operated APPRAISER & DATE: Item Flr. Ext. Int. oof Age Size $/S.F. % Gd. RCLND IC) $ S.F. % Gd. IIICIIND / U' �� ` J $/S. F. % Gd. RCLND �!7-1 ^� tiding Glass Dr(?) — "�•1,Q42) �+"'1-20 �,WZ �� ROOF gFd J cable t �, -J-42) 1.a -- +utch Gable -�� Q t 193 �y lip T TAL had REMARKS: CALCULATIONS: 'tat c1e .:, al f-1 iI DE51-6,AR_ :ut-Up---- l' :in. Eaves �+/ hingle W — !F�vccass� hake :ompo-Shingle :ompo•Roll (q0 2 ff 00 'or and Gravel ,le 983 CAA - Q x ; = Zv le ✓/ o' :utters & Dn. Spts. Fv ! t tJ.I ! ! ":::, � , ., . , ... • ;-� ` � (�);,,� pili=�•=: " 't r 1 , i r -r- r•j � �-,I.-o-.- , 5 v..i 'T .l2. "A l 1 l I t j