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Home My WebLink About068-030-031' __ __ ; _ __---_ - -- - = ----- -^- ----'--------------r^---� - ----' - ' -- -- - ----- 068-030-031 C76 ORI., ' CONT: SUNBURST [Canyon Drive.250t north of Almond Ave. F142 CANYON DR Oroville . unj .cont: OWNERRE ROOF 142 -^ ' ` q C2 068-030-031 0622196 CAVO LORI 7,1[42 CANYON DR„OROVIDLE NOTES 7_.....4 _ . (a Cont: OWNER 'R -E' OOF RESIDENTIAL ,t APN: Permit No. j Owner. 1 4 - 1 S"de Address k - Contrador. 0 `# Type of Permit r r SPECIAL CONDITIONS CHECKED BY Q SRA Q FLOOD CERTIFICATE EGUIRED Q FIRE SPRINKLERS REQUIRED [—]VERIFY SPECIAL INSPECTION ITEMS VERIFY HUSE PERM CONDITIONS SUBSTANDARD' HOUSING LETTER 0 ENCROAcHmENT PERMIT Q RERtSPECTION FEE PAID Q ENV HLTH CLEARANCE 0 DATE JOB FWALED: v �+ SIGNATURE: +=OK 0 = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATIONSOFTSET 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer, Lorin -Test; Fall/C/O-Concrete' 4 Wtr, Loctn Test -Easement Needed -Regulator 5 Elec Lortn-Ctmcs-Gmd" "Amp -Concrete 6 Yard Gas; Loctn Test Wrap - Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas, MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation ❑ 1¢ Exits IS Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers 4a e? o Pool Drawing MISCELLANEOUS- DECKS-C10VERS-CARP0RTS'GARAGES 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Jotsts-Dcldng-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Ms-C_nnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnncfnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frtng; Sills-AnchrsStuds-Rfhrs Tnisses 9 Siding; Nailing VengerStucco4-ath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pmts vla o'$ 46a 1 Setbacks -Easements 2 Soils; -CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns Thickness Dead Men4 fining 4 Elec Reptcis&Ung; D-istance-GF7 — 5 Eiec fool t ting; 15 volts -GR 6 Elec.Enclsrs; Conduit Entries-Tgrmtnals-Listed — 7*Elec Bonding; Metal wIT-Crcltng Egp-Htr 8 Elec: Gmdng; Eqp w/5' Crcitng Eqp-Pool ightg — Braces-Enclsfs-pnlboeids-lnsultn.to Main Conduit 9 Health Dept Appm —10 Pimb; Or Test-Wtr Supply Test —I i Lt Niche . —12 Enclsr; Fencing -Alarms _ 13 Bogding, Diving board or Slide = Nol RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr. Vent Acc-Cmbstn Air Baffle 2 Ftg Main; Sails-Elec Gmd Fig Dpth 54 Wtr Pipe; Test & Anchr Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr Rail Prfctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr Tub Arc 5 Stemwalls Main; Steel-BloccoutsWrapped 57 Test Tubi & Shwr. 2nd flr -Tub Acc 6 Stemwalls Garage; Steel-Blockouts Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Ancfirs 59 Fire Sprinkler. Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV, Fall -Fitting Test -2 -way CIO -Sewer Test �r a• 10 UF, Gas Pipe; Sz AnchrsSz Test ° °* 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE M E C H A N•I C A L 13 Plenums 8 Ducts; Cimc-materialSupportansultn 61 AC Ducts Insulin & Support it 14 GirdersSills-Anchr BotisJolsts Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & VnUtn 63 Condensate Drain & Ovrflw. Sz & Grade - 16 Insulation 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pltfrm if Furnace In attic a' dd 4& 4p, DATE 15RAMING 17 Sills Proper Mafedais & An'dws DATE F 1 N A L 18 wins Studs-Nailuig Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls ovet Girders _. flr Nailing 67 Smoke Detector 20 Draft Stop In Walls (rat Oroof) 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fire Stops.'Frirred CeltingsSta'rs-ChasersTubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beamssz &-Bearing 69 Bedroom Exiting 23 Hangers Posf,CaQs-AnUvs- ndns TO GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Jot sf�r Ties-Puri'�-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frple Ties or `type A Flue=Fr�le Throat Cimc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Ai; Sz &film= Putin -Draft Stop -ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or., Ezr'6ng Doors -SIR 1It & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Gafage Fire P`tri Frarrring-RC C6rlriel 75 Elec Outlets at Wood Pnl. Int & Ext 29 Prprly Line Firewall & Opngs' . 76 Ktchn, Fxtr & AppinC Grnd-Air-Gap-Cooking Cimc 30 Ext Doors -One 3' -Check Gauge 3r'4 Story, 2 Exits 77 Elec Outlets & Rcptcls ai Kfchn Counter 31 Stairs; Wddi-Hdrm-Rise-Run-Landing-Fre Prtctn 78 Garage Fire Dobr, Swing -Landing -Closure 32 Piywd on Roof Ovrhng-Mc Vats-Rftr Oritrgrs 79 AC Duct In Garage -Damper. 33 Sidurg-NauTng Veneer • 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRY; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctrr LPG Appince Undr House 3' drain 35 Glazing Area -Glass Pitch SkyLls-Plastic . 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nairing-Bolts 82 Elec Rcptcls in Garage (GFS Romex Prtctn 37 Brace InUExt Wall pnls 83 Insultn-Foam-Looked in Attic 38 lnsultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration -Walls Wndws 85 Fndn Vnts & Crawl Hole Door Dm e & Wood -Earth 86 Cimc Dmge Planters Yes ONo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb.Appinc-Frpic-Cimc to Opngs 90 Wtr Well, Dscnnct, Elea Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd DATE JELECTRICAL 40 Fxtr & Tmsfmu Cimc-Ins Prtctn 41 Elec Rcptcls Spacing-l-ts & Sxfrtcres at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspects 44 Eqp Gmd made up w/Mech Fsinrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnncd-C1O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 1 OCU orAL 98 Address Posted AL AC Wire Sz ip -j CU orHAL 99 Fire Sprinkler 48 Range Ciic 1P CU orAL Oven Circ ga CU or Insulated Neutral Yes 0No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP062196 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of - Issued Date: 09/13/2006 APN: 068-030-031-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 142 CANYON DR ORO Date: Contractor. Map Index: Description: RE -ROOF (19 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty' of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CAYO LORI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 142 CANYON DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-3662 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: CAVO LORI Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 142 CANYON DR such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95966-3662 sale. If however, the building or improvements are sold within one year 'of completion, the owner -builder will have the burden of (530) 589-2179 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code dG Owner: L.OnO Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy u: Valuation: $0.00 Census Code: 9/1 certify that in the performance of the work for which this permit is issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, S��D 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. 'I�iTt /JI ('JYVI Date: —9/1.3 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Bijtta County Cody ?nrvnr I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) e for which fees have been paid. Reso do s to do work indicateV17 Name: By: Date: lJv� Address: PERMI EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all co0nty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance fan fficial form or document of Butte County. 1 hereby authorize representatives of B to County to enter upon the above mentioned property for inspection purpose . Print Name:Q�i��/� Signature: Date: to/owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last .Name Name i t Name Ma' i d ess v,e- C)tr w' a Stt_ zip (01 Zip Phone E-mail Fax APPLICANT INFORMATION CONTRACTOR Name rX Address tY U I (� City Zip C, .S�q State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name rX Address tY U I (� City Zip C, .S�q State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Prppp2AW ll`�i A d s ' U� llstate tY U I (� r� Zip C, .S�q Pho eJ o l 2-19 Fax �— E-mail AP / ANT SIGNATURE X For office use only: Zoning Prppp2AW ll`�i Flood Zone City an M Lto SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION Prppp2AW ll`�i s V City an M Lto Crps5A / Z_ P HWORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description.or Scope of Work: re ( l W fi js?q p q. Sq FT- Livinb Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. W Received by:K o Amount: Bldg SRA Receipt #:f ; I Sheriff ((1 SUP Date: I Other Ub Total K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc Page 1 of 2 REV 8-25-06 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs). ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). If your project is located in State Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet. ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. ❑ 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. A FEE WILL BE REQUIRED AT TIME OF APPLICATION. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KABuilding\WEBSITE F0RMS\B1dgApp1SubRgmts82506.doc Page 2 of 2 REV 8-25-06 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES.[ ] NO[ ]. 2. I HAVE [ \] HANE NOT [ ] signed an application fora building permit for the proposed work- 3. ork3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work RUNIM . 1101P• PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER U DATE: 9 Z A/()(. NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. 'M;c, �ror;Firat;nn miict ha rmmnlPtPrl sn(l rPfi,mF-ri to our office before we are nermitted to issue the BU' tte County Department of Development Services ADMINISTRATIDN `BUILDING GIS PLANNING o �o o o 7 County Center Drive o o Oroville, CA 95965 u (530) 538-7541 Telephone C (530) 538-2140 Facsimile OU N� OWNER -]BUILDER INFORMATION Dear Property Owner: T An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to doo-your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work ?ersonally or. through their own employees, without a licensed contractor or subcontractor, only under limited coedit ons. 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector 4�' 068-030-031 02-3235 CAVO, LORI 4't' 142 CANYON DR.,'O- ROVILLE Co�Tt:""SlJNBURST.*l? % GAS'FIREPLACE INSERT s,"' W � t• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' r.. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ` R IT,.N (Rev. 1219' APPLICATION AND PERMIT Off. - ' ASSESSOR PARCEL NUMBER 068-0-30-0.31 ZONING BUILDING PERMIT OWNER T TELEPHONE C;90-21 a SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS by - CONTRACTOR'S NAME - PATTO R _TnF TELEPHONE CONTRACTORS MAIUNG ADDRESS 5 9 M11KAVr CA L1S40'f _T__ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20-.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS !.► 2. CA NVON DR OR= T T Energy Plan Checking Fee $ 1 $ 11 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE , SF ❑ Duplex ❑ Mobilehome ❑ Other • SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ i Describe Work: GAS FIREPLACE INSERT i Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 1100V LE Main Service zo.A 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._ J1 License Class Lic. No. OWNER -BUILDER DECLARATION t 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. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason L i WORKERS' COMPENSATION DECLARATION j I hereby affirm under penalty of perjury one of the following declarations:, ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Me, 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 should become subject to the workers' compensation provisions of section 3700 of the Labor,Code, I shall t forthwith comply -with those provisions. / X _ r/ j 10 Date I ! U� /_0,11 Signature of Applicant - Q Owner ❑ Contractor ❑Agent An OSHA permit is required or excavations over 5'0" deep and demolition or construction of structures over 3 sto ies i7he Mein Service zoOA TO ,000A 46.00 NEw CONST. OW i!ILING OCCUP. OR ADDNS. a ACC. BLDS. S0 3.5¢Fr; NEW CONST. MULTI.OUTLET NON-RESID. CIRCUITS 97.50 POWER APPARATUS I a SINGLE OUTLET CIR. 20 0 1.00 EX. OCCU OUTLET OR FIXTURES SAL @ .50 FIXED APPLNS. OR Ex. Occup. 5.00 OUTLETS RESID. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pie -Inspection PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation gas Xlpeplace 3,5.00 115.00 PERMIT FEE 5.35.10 Mobile Home Installation Fee Energy Inspection Fee Is Occ I CONST. TYPE TOTAL FEE $ 70-q0 HAZ. -� D. FEES IMP FLOOD CDF ..,�. PARCEL PD HD ISSIfI-`_ This permit is hereby issued under of the Butte County Code and/or indr�' �: p -I..,, A—.. I�htf - 1Ave w :.a .a PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid '-` Jr e Receipt No. / WHITE-D.D.S.•B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .+" +i�..a-+a' +•,� 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 �G "z c7 OWNER I O. 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 ro) P u 14�� ey qoe::� A ' Dat Inspector REV 10/92 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 OWN 3 2.3 s PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the ',. above adoress and should be corrected. Please notice this office when correction of work is complet b. If you have any questions pertaining to this matter, or need additional explanation, DleaseAontact this office immediately. W-1 tri Datell Inspector REV 10/92 Tr COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Z' PP�R21I (Rev. 12/96) APPLICATION AND PERMIT a �Ga�-�— ASSESSOR PARCEL NUMBER 068-030-031 ZONING 1 BUILDING PERMIT OWNER CAyn TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 142 CANYnN DR OROVILLIE CA 95966 7 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS FIREPLACE INSERT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 800V OR LE Main Service 20OAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, tt/will do the work, and the structure is not intended or offered for sale. l, 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. ❑ I 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 TO 46.00so CCUOOOA NEW CONST. DWELLING OCCUP. WEE OR ADDNS. ( a ACc. Blas. SO 3.52 Fr: NPN REOSIUT' MULTI.OUTLET gG 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET BAL p I:w FlXED APPLNS. OR Ex. Occup. ouTltTs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 _ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 11 I?aS f ireDl ace 15.00 15.00 PERMIT FEE S35.00 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.) (rI 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 wo kers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comp ith those provisions. X _ Date L( OZ Signature of Applic t - Owner ❑Contractor ❑ Agent An OSHA permit is required or excavations over 60" deep and demolition or construction of structures over 3422 ie i hei t. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISS This permit is hereby issued under of Butte Coun Cod and/or indica abo fir hiclife s have By ' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid _ G ! t fe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT