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HomeMy WebLinkAbout068-150-003R-� ay and Terrell 2940 Quincy Rd., Oroville 7$ Permit #63=76� B(add 2 wooden decks/SF) Permit #548-81$(add open decks SF) 68-15-03 134-90B,P,E,M DEBOS, Henry 2940 Oro Quincy Hwy, Oroville Contr: John Poole_ . qI (repairs per hsng 'letter/sf ) 068-15-0-003 GHEOR.GHE ROTBAESEA14 2940 Oro Quincy Hwy., .Oroville.� � Permit#93-3689 B,ECniew det. shop) 068-150-003 PERMIT#94-2314 ROTBASEAIL'GHEORGE 2940 ORO-QUINCY HWY, OROV:ILLE ELE SER FW SHOP � 068-150-003 ' PERMIT#96j4%7 ROTBASEAN, Gheorghe x_.2940 Oro -Quincy Hwy, ' Oroviile Con' Shop to Home Occupation 068-150-003 l I [eye] -%V! cv, - 0 i to -m -.1i A F.11 110111 '11!.i11� ` 2940 ORO & ADD. Ub2S-1_)U-UU3 04-1411 ROTBASEAN, GHEORGIE 2940 ORO QUINCY HWY, OROVILLE CONT: OWNER 0 60' 15000 0 04601011-0-030 VVO-IJU-VUJ .____U4-271 ROTBASEAN,GHEORGHE 2940 ORO QUINCY fiWY, OROVILLE Cont: OWNER DEMO PERMIT RENEWAL DATE: 9'-11-06 l,E'# OV-1VII FIRES: 2- Z/ -O 7 J a meq' ILO 4 ,... _ COMMERCIAL MASONRY WALLS N E S W 068-150-003 PERMIT#96-0497 1st Lift ROTBASEAN, Gheorghe 2nd Lift 2940 Oro -Quincy Hwy, Oroville 3rd Lift. Conv Shop to Home Occup on 4th Lift 5th Lift 6th Lift ]EJ. FIRE WALLS Occu anc Area Propert Gypsum Board 1st Layer 2nd Layer Walls ,Ceilings f V=OK O = Not OK - = Not Applicable = Not Ready COMMOICIAL Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope -Soil Report 2. Ftg., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle k. W r Pipe; Test & Anchor -Nail Protection P . D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Hand icap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card 13-1 Date Card B-1 Date Card 13 1T Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. Ii.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40�ils, Proper Material & Anchors -Hold Downs t41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. BearingMalls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases Ae Headers & Beam -Size & Bearinq-SUDDort Fix. (NOTE: An entry must be made each t Date,' FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing -Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -lam cert. -Placement -Support 51. Steel Buildings-Puriin-Girders 52. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access 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 -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Qdrd B-1 Date Card B-1 Date gf,Plans OK except #'s _6pWxt. Steps -Door & Sidelight Protection -Landings 6 Exits -Size -Number -Placement Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Sprinklers -Placement -Test 6t. Suspended Ceiling-Seismic-Wires-Elec-Light & Mach. 64. Elec. Trim & Subpanel; Breaker Sizes& Labels Stairs & Rails licap-Door Levers -Fin. Floor Outlets at Wood Panel; Int. & Ext., 72. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 5. Plb., Elec. & Mach. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic 0 Yes 75. 3uard Rails & Deck Construction -Post Caps 76. dn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 77. tucco; Brown -Finish 78. 1A.C. Unit; Disconnect, Electrical, Plumbing 79. lVents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 80.1 Ver Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground ff Site -Parking -Handicap Glass Protection, 8 .'Corrections frdm Previous Inspections 5. Gas Test -Meters Tagged; Gas -Electric 6. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Comp lance Certificate -Other Certificates 88. Roofing Certificate -Fire Ratinq Dat ,, and 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occupancy me you visit the job site) I,�;::�:yi;4:�`�'S,t f�Y:�w�'�,:�i-•E�=ae �4411r'Lt';.+�'J."'�T'`�Y"`t�'°M''='t!�ir:'•c"'i''4,'�;S`�tf`" �!'"SiK`Ya`��.y�,,,i.''�-n.v .., •,•«•.n.....F„-.'t,r r•.,;K;;�,;�, �� COUNTY OF BUTTE - DEPARTMEWT`01,PbEVELOPM NT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER l� Vr i1 � / 1 O 40 A. P 06 81 O � �w Proposed Building Use o m V V t ©� Q ildind Ins Proposed Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............ . 11. Impact.fees as-showrr-orrattactwd-sci•iedMe.. .......... 12. California Department of Forestry plan approval/fees.................... . 13. Flood elevation letter (100 year flooby C71 ornia Engineer. . . 14. Sanitation and plot plan approval tro Ili I e- Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/ Gr,4dley . . 17.. Planning approval for (A) Use: ✓ (B)• Parking: ii�1 ....... . -� -18. Contact Land Development;about (A) Improvements (B) Drainage. ........... 1� 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Fre-Inspection requ-e-sr- 20. Pre -inspection for required. .•. to Building Inspector (Date) 21.. Contractor's license information. (No., Name Style, Classification). ............. . 22. Certificate of Workmans Compensation Insurance ............................ 23. Owner -Builder Verification (Given to owner Mail to owner _). .......... 24. Recorded copy of Agricultural Acknowledgement Statement. . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..: 27. Letter of intent on building use. .."...................................... 28. Mobilehome utility clearance . ................... ....................... '`. 29. Documentation of legal access . .......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed ' and (B) Parcel meets zoning area-a,nd frontage requirements . ............... 31. Ex' 'ng violations/expired permits. ... :..................... .......... . 32. an check list. .... A t.Ji .(/A flwc' i.Ge�d ..ett.%.c�o I l/l 34.y�- Whery you issue the ermit, _process as follows: Mail tq gwner. Mail to contractor. _�_ Telephone �� "x(o and hold for pickup at U rc V 2 office. Deliver with inspector. Other (5 rr S ` 953 1h Parcel Creation r 03 • Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle net(�• not checked above). 1. Index permit for above items o. 2. Additional items required: -I'pirr� 0 Dn ✓ n.64- nf!Ar' rAJJ&4h cls te n• Pints c ro41,r„; a Contractor, designer, owner, Plans checked by _--XX ne mail Counter by _ Date Sets of plans on .hold in File cabinet AP folder Copy - Department of Public Works E.H. U SEXY_ Plot Plea Attachod Floor Plan Auuhed Seat to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public `� Private Well Clearance for e. Other 4, ITH Hold mal for: Final clearance O.K. for: Environmental Health Specialist 8/92 Date v COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Or6ville, California 9T5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9 �'� _n -q 7 ASSESSOR PARCEL NUMBER 068-150-003 ZONING AR Z HC BUILDING PERMIT OWNER GHEORGHE ROTBASEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION 693 57-18 27 027.00 OWNER'S MAILING ADDRESS 2940 p V 907 30-18 12 698.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNMOWN Total Valuation $ 25.00 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 349, 50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 227-19 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2940 ORO V PERMITFEE t 6 PLUMBINGPERMIT Filing Fee 20.00 R Each Trap 51 7.00 39.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: CON11 A11T _S_ QP TO- iMAQ1NE SHOP, WNE OCCUPATION (OFFICE, LUNGHROG'"Tz, BTG.)_ Mobile Home S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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: CID' 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. ❑ 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 NEW CONST. DWELLING OCCUP. . OR ADDNS. ( a ACC. BUDS. ) 3.50 FSOT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER US ( POAPPARATTLE) 8 SINGLE OUT CIR. Ex. Occup. (OUTLET OR FIXTURES 20 Q 1.00 BAL .50 Ex. Occup. (oFIXED PESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ® I certify that in the performance of the work for which this permit is issued, 1 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 foo ith comply with those provisions. p X O` Date Signat re of A�licant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ o C CONST. PE TOTAL FEE $ 724.6 HAZ. FE IMP FLOOD X CDF PARCEL PO D tS 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. ` 0 By D PERMITEXPIRESON 2 (Date) Receipt No. 194639 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: t An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at 'your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. , 1. I personally plan to provide the major labor and materials for construction of the proposed property improveinent : ASV-] NO[ ]. 2. I HAVE[x] 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: � N11 ADDRESS: CITY: PHONE: ` CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIL• i� o ADDRESS: CITY:'' PHONE: CONTRACTOR'S LICENSE NO. 5. -1 will provide some of the work but I have contracted (hired) the following persons oto provide -the work indicated: NAME ADDRESS .,40 . PHONE. TYPE OF WORK P0 SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: � DATE: NOTE: This owner -Builder Verification is required*by Section 19831 and 19832 of the California Health and Safety Code. This verification must,be completed and returned to our office before we are permitted to issue the permit. OVER 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Fedetal 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. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 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 ow -n employees. without a licensed contractor or subcontractor, only tinder limited conditions. A frequent practice of =hceased persons professing to be contractors is to secure an "ownerbuilder' building permit, erroneously irnpi,,ing that the property owner is providing his or her o« -n 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 licenced contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. 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. Sin0e rely, Michadl C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0%,vner-Builder Information is required by Section 19330 of the California Health and Safety Code. OVER BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER 96 APN Firm Name OL ©in 4e -R04,13&0 Address 1d -in rp E /y r&. ; c V 14 tU n © Ile - Nature of Business __ G(ck ► n X�11.1 / Contact Person S� t M P Phone # � q -yd l0 1. Does your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. - Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? YNO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? %(NO b YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, f`u. es, vapors, or other volatile compounds? 3KNO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative �'aeu,� 6) 3 ,l/• 96 (Signature (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El11 The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature. Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. r e 1c vv-\ , COUNTY OF BUTTE - DEPARTMENT O'F DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, CalHornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� ASSESSORTZL NUM f5� © 3 CYJI (/� ZONING / BUILDING PERMIT OWNER TELEPHONE/ SO. FT. OCC. BUILDING VALUATION �° �� Sh- OWNERS MAILING ADDR ,rc� ; N e O �� �S�64, Y, o Ca' 4, CONTRACT R'S NAME Ui {1C - TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTI LENDER 0 UNKNOWN Total Valuation $ IT9 i 6- "©n Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTO(NEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 'l o r 7 PERMITFEE $�G /,S PLUMBINGPERMIT Fling Fee 20.00 r Each Trap 1 7.00 00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar Or heat pump water heater 23,00 Water piping 15.00 /S 00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 JS Q TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti s ❑ Installation ❑ Other ❑ /) t, Describe Work: 0 r ` P s0 A aHyl le— Mobile Home S G W 920.00 PERMITFEE $ 8 " Contractor ELECTRICAL PERMIT Filinq Fee 20.00 GGU AL ,I © �� C. U n L� �(?, v►� �e Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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, 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 NEW CONST, DWELLING OCCUR OR ADDNS. ( a ACC. BLOS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR.) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL (a). so FIXED Ex. Occup. OUTLETS (RES.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 JS 00 PERMITFEE $ �f . f Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling -- Hood 6.50 Ventilation PERMITFEE $ Contractor 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 shallTOTAL 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 c mply with those provisions. X / Date Signature of Applicant - Cl Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ — HAZ D. FEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY II PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 1 ` 4L& 6 % WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ( t' leo® ! / \ �yma;N er 38 x /S > 1s. C 3 39 '�-e qo COUNTY OF BUTTE ti BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County the above address and should be corrected. Please notify this office when is completed. If you have any questions pertaining to this matter, or need adc please cont t this office immediately. PERMI . I mances e- ist at re"c�iori of work n__ explanation, Tg BUTTE COUNTY'ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name C EOE C, 10 0 J_hte�//%� Address Nature of Business /F�� Contact Person C%! 0&6, /�71JA6 *11 Phone # T0. 1. Does your business or that of your tennants handle, store, or transport hazardous materials? ❑ NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, . paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ONO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? ❑ NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? ❑ NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative' ��`�9` �� ' (Signature) (Dare) BCEHD BCAPCD El El BCEHD Signature . BCAPCD Signature The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534,'of the' Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. Date Date WHITE -Building Dept 0 YELLOW- Env. Health 0 +PINK - APCD 0 GOLDENROD- Fire Dept.- 'ii BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name C Em/Z C% % oDG '/E mfr elll�11,6/.9 y Address 'Nature of Business Contact Person C'T���2G_ . �O ��8� S�tfx/ - Phone # 1. Does your business or that of your tennants handle, store, or transport hazardous,. -materials? +' ❑ NO ❑ YES _. NOTE: Hazardous materials are defined as any material that, because of its quantity; concentration, or physical `or ,,chemical characteristics, poses a significant present or potential hazard to human �. health and. safety or to the evironment if released into the1he workplace or the, environment.N`" ' "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels., flammables, combustibles, corrosives, gases, and any material which a handler or�the administering agency has a reasonable basis for believing to be injurious -to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or.200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ❑ NO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? ❑ NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? 1 ❑ NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. ' Owner or Authorized Company Representative (Signature) (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health.and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. , The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date i• BCAPCD Signature Date WHITE - Building Dept 0 YELLOW - Env. Health ' 0 PINK - APCD 0 GOLDENROD - Fire Dept. V, BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved -without this completed form.) BUILDING PERMIT NUMBER APN Firm Name Address P94 D Nature of Business Contact Person Phone # �3�'Y2x6- Does your business or that of your tennants handle, store, or transport hazardous materials? ❑ NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical orichemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous -Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be.injurious to the health and safety of persons or harmful to the environment -if released. 2. Do.you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ETNO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operatioh to be located within 1000 feet or the outer boundry of a school or school site? ❑ NO ❑ YES IF YES, name of school. 4. . Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? ❑ NO ❑ YES IF YES', contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. D� �9- Owner or Authorized Company Representative/Jlw, (Signature) (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air, Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. e BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN NFirm Name Fell r � 7-00/- #le 111A1,r1/1/1e1,;' y Address 09f o pd ,f? 011'!1!ry //V,/"/ Nature of Business Contact Person �" �' �f<'<%�: ./t°1 i",�i �!'� �✓{�r Phone # 1. i Does your business or that of your tennants handle, store, or transport hazardous materials? ❑ NO ❑ YES i NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or m s physical�.or�chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. r "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. , Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? ❑ NO ❑ YES r - t r If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538-7281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? NO t ❑ YES IF, YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, r./fumes, vapors, or other volatile compounds? P -NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative %`¢1fu-` f) 9. (Signature) (Date) BCEHD BCAPCD ® The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requir""ements for a permit, from the Butte County Air Pollution Control District. x The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health ❑ PINK - APCD 0 GOLDENROD- Fire Dept. �r NON-RESIDENTIAL BUILDINGS=. , ENERGY CONSERVATION STANDARDS Statement of Intent for Non.; -Heated and/or Non -Air Conditioned Buildings I, (ir-012 c/yf—V' c=og/ , owner of the building to be constructed as •a (please print) ® `� ' /WO /�� �� �m 49 under 7 ( atotf T 0 �o?o CL[yC" (bldg.permit no.) (location) ` hereby certify*that I do not intend"to heat or cool this building in such a manner,as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in,the future, that I will be subject to the energy requirements in effect'at that time for that specific occupancy. I also understand that if I become•siubject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) ,the building envelope, (2) the insulation requirements of the heating, ventilating, and. air conditioning systems, (3) -the heating, ventilating, and air conditioning`equipment,,(4) the service water heating, and (5) the lighting•of the building to comply with .the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building Owner Mailing Address oAZC9 ,/Cl/�CCp /41 / � Ll �� S3� ,o ��� Telephone No. `� " HOME OCCUPATION ,PERM[F SIDE t Name �lto�"�e iZo�'�Se�►1 y,. " AP# C (O'S,-`'\ 0_003 n Address of Parcel Standards of Permit Issuance: Phone # (Wf) y - VT T A. Employment and work on home occupations shall be limited to members of the family residing on the premises and shall be conducted entirely within their dwelling and auxiliary buildings, except for agricultural uses. B. On -premises advertising for home occupations shall be limited to one (1) unlighted sign with not .more than three (3) square feet of display area, and such sign shall not be located in any required yard. C. All equipment, materials and wastes connected with the home occupation. shall be contained within a building, except for agricultural products. Standards in the FR zones: In exception to the above standards, the following shall apply to all FR zones within the County: A. ' Home occupations are considered -to be accessory to the residential use and are permitted only when the proprietor resides on the be. B. Not more than one (1) employee or assistant may be engaged for work or service on the premises in connection.with such uses. C. Advertising displays shall be limited to one (1) unlighted sign with not more than six (6) square feet of display area. Such sign shall not be located in any required yard. Use Permit Requirement. In cases where home occupations are objectionable or become objectionable, because of noise, odor, smoke, dust, bright light, vibration, pollution, traffic congestion, unsafe access or the handling of explosives or dangerous materials, a Use Permit shall be required. FOR OFFICE USE ONLY The requested use for this parcel is described on the reverse. Parcel is zoned �r� _ _ Approved by (Planner) SfzAker _Rc* S Date of issuance/approval HOME OCCUPATION PERMIT ^ SIDE 2 _.. Description of proposed Home Occupation /D0!_ N� O V /'s /V_ Z Lf- V/ C DLP.' Permitted Uses of the Home Occupation Permit. Subject to an Administrative Permit, the following uses shall pertain to all zones that allow a residential use: - Sale of agricultural goods produced on the premises. - Indoor display and sale of arts and crafts goods produced on the premises, including pottery, jewelry, paintings, sculpture, furniture, photographs, leatherwork and similar objects. - Professional offices and services. - Offices and services conducted primarily by mail or telephone. - Domestic services, including laundry, ironing, sewing and similar uses. - Other services conducted within a residential dwelling. Prohibited Uses of the Home Occupation Permit.The following uses shall be prohibited as a home occupation: - Auto repair, auto sales, auto dismantling. - On -sale or off -sale alcohol sales. In cases where home occupations may be objectionable or become objectionable, because of noise, odor, smoke, dust, bright light, vibration, pollution, traffic congestion, unsafe access, or the handling of explosives or dangerous materials, a Use Permit shall be required. O oto, • Gi. i ~� i S - l a} a co h C2f ' y /a O1 \n r? 7,•, 9P i/'ArLIJ(� v,n �i,�l %J'!i1� �i,o n•v,� .a�i_4 r .e <<� 11 � hn�: r .e <<� 11 w 'r 'r 1 I " RESIDENTIAL 5 J58-15-0-003 93-3639 _b, E ROTBASEAH, GHEORGHE 2940 ORO QUINCY HWY,OROVILLE DETACHED SHOP V= OK O = Not OK -=Not ApplicReddyable MOBILE HOMES' ' =Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ - /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft: / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect , 8. Utility Clearance . Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 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. Exits; Insp.-Sketch 10. Cert. of Occupancy n , .L MISCELLANEOUS Date/Initial DECKS, COVERS CARPORTS GARAGES, Plans OK except #'s _S 2.$ Zo 'ng Requirements=Setbacks-Easements Alff ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3., Decks; Griders and/or Joists.Decking-Bracing-Stairs-Rails - 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures r ; Windows -Doors r ils-Anchors-Studs-Rftrs-Trusses i Nailing -Veneer -Stucco -Mesh R hthg-Roofing 414'Ext., Steps -Doors -Lendings Date/Initials 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI A Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main in Conduit - 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test =OK = Not Applicable r Not RESIDENTIAL (Single ,& Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Stab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except it's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nall -Protection R 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size /' / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan;,Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except u's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stoo in Wells (ret Droofl 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except M's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: I ID COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 9$965 - Telephone (916) 538-7 41 PER�nIT O APPLICATION SAND PERMIT (� ASSESSOR PARCEL NUMBER 068-150-003 ZONING AR—HC BUILDIN PERMIT OWNER Gheor he Rotbaseah TELEPHONE 534-7777 SQ. FT. OCC. BUILDING VALUATION 1,600 M 28 800.00 OWNER'S MAILING ADDRESS 2940 Oro Quincy Hwy., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 28,800.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 278.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 180.70 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 478.70 2940 Oro Quincy Hwy., OrovilleEach PLUMBING PERMIT Filing Fee 20.00 Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome ❑ Other Det. Shop SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New XX Addition ❑ Remodel ❑ Utilities C1Installation ❑ Other ❑ Describe Work: Detached Shop PERMIT FEE ,.$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 23.00 2GOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW OR ADONS.T ( D &EACCLLINGBLOSUP ) X 3.5C F°,, 56.00 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and ,ProfessionsCode and my license is in full force and effect. License No. Classification I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 0@ 1.50 BAL. Ex. Occu FIXED APPLNS. OR p ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $76.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i Donsequence of the granting of this permit. X � Cy�se�9�LL7 l Date // /0 �I3 Signature of Applicant -A Owner ❑ Contractor ❑ Agent An OSHA p/,mit is required for excavations over 5"0" deep and demolition or construction' of structures over 3 stories in height.A'DI Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 554.70 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD - HD ssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic d above for which fees have been paid. CT F P BLIC WORKS BY Date PERMIT EXPIRES ON 7 9� I /Date/ . d Receipt No. 153541 �(p ! S�S,j �� ` --�6 � WHITE-D.D.S.-B.D. CANARY -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT OUNTYOF BUTTE - DEPARTMEN.TOF DVFLOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIC II.ORNIA 95965 - TELEPHONE (916) 538-7541 ' PERMIT APPLICATION DATA SHEET OWNER Proposed Bui Use A. P. No. 61(aY5 '_`Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ................ .................. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings. ...................... ngineered truss details and layout in duplicate (required prior to plan check). .. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... `10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . —- 13. Flood elevation letter (100 year flood) by California Engineer . ............... . x ,1,14. Sanitation and plot plan approval 0AQUME Health Department . ........:.../� c .15. City of Chico plumbing permit .......................................... '16 Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ......A..... . 19. Driveway permit (construction approval required prior to occupancy). . ' to aunsDeCtioA r6 "� 20. Pre -inspection for — required. i red. . . to Bu;�d;ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... 4 'go - 24. Recorded copy of Agricultural Acknowledgement Statement . ................... ' 25. Letter of signature authorization............. ............................ �rsf 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. 'Letter of intent on building use. ...................................... 28: ' Mobilehome utility clearance. ...'^.. ..................................... 29. Documentation of legal access...: S . ...............:................. . 30. Documentation of 50% subdivision de eloped or (A) Road improvements completed and (B) Parcel meets -zoning area and'frontage requirements . ............... 31. Existing violations/expired permits. ....." ................................ 32. Plan check list . .................................................... . 33. ' 34. When Y9u issue the permit, process as follows: Mail to owner.. -.Mail to contractor. �� Telephone63h/- 777— and hold for pickup at 20 t.,( // -c..—_ office. Deliver with inspector. Other 15 39 - w Parcel Creation Acreage ApplicantDate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt t pjsnit issuanc . (C' cle new item of _ ke�i_atve)- 1. Index permit for above items N T ' 2. Additional items required: ~—jiQG Contractor, designer, owner, was advised of above required data by hone _ mail Counter byr% Date ///Z ?- Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date :; 13 F4# Plans checked by Date P_Ia s �ppOoved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works if COUNTY OF BUTTE - Depa'rtmenc of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 ma' r labor and materials for construction of the proposed property improvement yes or no) 2. I Qave/have not) signed an applicationfor a building permit or proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone 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 Signed: Property Owner G Social Security Number Date �!' �'y` y3 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ / ! ZO ING _ BUILDING PERMIT OWNER C; Nro2 GKN, Qi /%4SC�L/-/ TELEPHONE 53 _ 7777 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADO ESS "JD CONTRACTOR'S E TELEPHONE - - CONTRACTO MAILING ADDRESS - - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ goo LENDER'S MAILING ADDRESS Filing Fee S 20.00 Permit Fee $ O0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS{Q L PERMIT FEE S p -D PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK NelK'Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS I 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW OR ADONS CONST. DWELLING 6ACCBLDS. ) 3.5C NEW CONST. MULTI,OUTLET NON REBID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS 1 8 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ +.0550 Ex. Occu FIXED APPUNS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ c Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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, costs, and expenses which may in any way accru against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CON11. TYPE TOTAL FEE $ HA2. 0. FFES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte. County Code and/or Resolutions to do work indicated above for which fees have. been paid. DIRECTOR OF PUBLIC WORKS By Date- PERMIT EXPIRES ON lDerel /� Receipt No. ! J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C2 •1 / ,o3ai- 94 LONGFELLOW LUMBER CO. INC. ■ Quality Truss* Design ■ Roof & Floor Systems 89 Loren Avenue Chico, CA 95928-7434 (916) 893-0112 FAX (916) 893-0140 Customer: Address: Job No: Alpine Engineered Products, Inc. Christian Chappel 8351 Rovana Circle Sacramento, CA 95828-2522 (916) 387-0116 AP#: Timber Products Inspection, Inc. P.O. Box 20455 Portland, OR 97220 (503) 254-0204 I Job: AN) / 12 50' ON COMN TOP CHORD 2x4 FL ¢i BOT CHORD 2x4 FL 91 WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE 7.3.3. CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. 10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER UBC CRITERIA. CONVENTIONAL FRAMING IS NOT THE RESPONSIBILITY OF THE TRUSS OESIGNER, PLATE MANUFACTURER, NOR TRUSS FABRICATOR. PERSONS ERECTING TRUSSES ARE CAUTIONED TO SEEK ADVICE BY A LOCAL PROFESSIONAL ENGINEER REGARDING CONVENTIONAL FRAMING. REFER TO DRAWINGS A103 AND A104R FOR OVERHANG DETAILS. MIS ONG. PREPARED FROM COXPUIER INPUT (LOADS 6 DIMENSIONS) SUBMITTED OY TRUSS MFR. n RECOMENDED CAMBER 3/8" AT MIOSPAN BETWEEN BEARINGS. b c (A) 1X4 #3 HEM -FIR OR BETTER CONTINUOUS LATERAL BRACING TO w BE EDUALLY SPACED. ATTACH WITH (2) 80 NAILS. BRACING n MATERIAL TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A ro SUITABLE SUPPORT BY ERECTION CONTRACTOR. WARNING: THE CONFIGURATION/LENGTH OF THIS TRUSS IS SUCH THAT EXTREME CAUTION MUST BE EXCERCISED IN HANDLING ANDA INSTALLATION TO PREVENT DAMAGE. REFER TO HET -80 6 HIB-9iFOR w RECOMMENDATIONS, WE RECOMMEND SEEKING ADVISE BY LOCAL To PROFESSIONAL ENGINEER. ALSO SEE "WARNING" NOTE BELOW. OD En EXTEND TOP CHORD TO HIP RAFTER AND SUPPORT EVERY TWO FEET. C LATERALLY BRACE FLAT TOP CHORD WITH 2x4 HEM -FIR #3 OR BETTER m @ 24.00" O.C. ATTACH WITH 2-16d NAILS AND 2x4 DIAGONAL BRACE PER HIB -91 13.2.i -FIGURE 33 OR HIB --91 SUMMARY SHEET - FRAME 3 THRU 6 SUPPORT HIP RAFTER WITH CRIPPLES EVERY TRUSS (34"). -to.�—'------ 20-11-4 B -i -B- 20-11-4 — �l 50' OVER 2 SUPPORTS R=16280 W=3"8 R=1629# w=3"8 PLT, TYP - ALPINE E G B 0 -- F Rev Sc Lt - V•Teou O a= O t� I= G ATRUSS **IMPORTANT**4LP;ln ",II[E°ED Pamr.Ts. :M. Stl.OL n0i !! nEsPtYi51111! FOo AHf OEVIAI)CL FTIN TRIS oEs[an OR Imst sPED)rfcsnm DO Allf tAILUK :O BUILD TIF IMj= 10 COWORVA14,( M1fH 0s11M1 Df 1P]. t�PPI1 CCAIECIO" AFC IIAC! O► 2004 SAL1/, STECL KEEIV40 ASM 4EA6 On t !REPT A$ /TOTED. APPLE CORe4C)OIr TO EACH FACE CF ARD tMESS 011E1pISE LCCAIIO 0n TU32 DESIGO. MSITHIA OMIJECIORS PEP ptURnLS IM. 959 t ItOA•c. U[SlE+l $IAMARS R/A+PLttA11Le 810'/ISlel4 CF RDS L IPI. Cl EMIKER•11 Y1sr.4t, PIT PLf, IAIO 31441 111 Bl1CIF TO 1ElItblff 7PDy W 4111110Cntr4T 'IEEE WARN INGI"-54s w-OuLI@EI'T""e" Tit tlAl>k Orr, (DECI[R1 AUD amcu14. 5" 4011.91 Ef IPI, see Tins m9IGlI rcm Am-tVllt spec"L FIe"l1ENT'"c"9PC al'twma,rs. ll•uss Ot1EPMlse uwcamc] tap CHM WALL DE LAIEPALLf SRAGEO NI IM W1itR Ll RITACIEO-LIICCO SIFA1R111 WIT,,mqD)0' MIIH PgmPLl A1rA�4E0 n1G1U CETl4r — SFE 40111E ICCIIIICAl LLDATL (1/1/01) EOR PPal(A atatr/1 tirALL O p! ial4t lKCicomets I1iC ca�PAf.OIrnnnS SS10N ti�� y � � C0436Q6 rMUSS * � Own * • A - fllf o4l 1y1�1 `tYP -11.11 TC LL 16. 0 PSF TC OL 10.0 PSF BC DL 5.O PSF BC LL O.O PSF TOT.LO. 31•0 PSFiCourorm REF 8427--79618 DATE 11/24/93 ORW CAU�i427 93328509 CA -ENG MD ��11!1111 DUR.FAC. 1 �� SPACING 24.0" +••1P] - Win FLAIL 0lsulow. 806 • 1591 11AII0IIAL erslGV scECIrICA11031 r'LP IrDD CMSTVL':TIaO qtr•%`,;, s Job: (ROTBS--GHEORGHE ROTBASCAN) / 71 50' COMN 5/12 (F TOP CHORD 2x4 FL #1 r\1BOT CHORD 2x4 FL 01 (11 WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE 7.3.3. WARNING: THE CONFIGURATION&ENGTH OF THIS TRUSS IS SUCH THAT EXTREME CAUTION RUST BE EXCERCISED IN HANDLING AND INSTALLATION TO PREVENT DAMAGE, REFER TO HET -BO 6 HIB -91 FOR RECOMMENDATIONS. WE RECOMMEND SEEKING ADVISE BY LOCAL PROFESSIONAL ENGINEER, ALSO SEE "WARNING" NOTE BELOW, REFER TO DRAWINGS A103 AND A104R FOR OVERHANG DETAILS. r rn 0 3X8 THIS ONG. PREPARED FROM COMPUTER INPUT (LOADS 6 DIMENSIONS) SUBM►neu UT rnuss nrn. RECOMENDED CAMBER 3/8" AT MIDSPAN BETWEEN BEARINGS. a c (A) 1X4 03 HEM -FIR OR BETTER CONTINUOUS LATERAL BRACING TO En BE EQUALLY SPACED. ATTACH WITH (2) 8d NAILS. BRACING MATERIAL TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A N SUITABLE SUPPORT BY ERECTION CONTRACTOR. TOP CHORD TO BE BRACED BY PROPERLY ATTACHED PURLINS &24-00W OC.m CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE w REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949, fu m 10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER UBC CRITERIA. N 0 A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. m-- 25-00 - - 3X4 25-0-0 ° J i� 50' OVER.2 SUPPORTS Ra1628# W=3"8 R=16280 W=3°8 Al) 7-1 P T -TYP - ALPINE DESIGN rRIT UBC CA/QAAdft1_-L/-/F Hey iu.ii SL -q a u Acau n t= O d C O **IMPORTANT* L°I16>7tiaEvlrn PPloac"• "c-riARNING7A11�`'' SHALL PDT GO fI�^MIS)6LE FOA AITP "E°'1°` E9,VEtE CAgt Iq IWaL7si Et'E:IIDV RID TC LL 16.0 PSF REF 8427--79617 1 M V 111)5 OESICN 09 THESE 6PECIfICATIOM aP AST BRACIAO. SEC IEB•91 w FP1- SEE MIS MICH t 1 .� TC DL 10.0 PSF DATE 11/24 93 ►AILLA+C TO BUILD 714E TOaS9 3If t MIMAIJOE 01f" 0!163 BY TP1, TOP A9D111D1+AL ep.IAt PEaWMIA awl'+; Fit Bi,. DLA446 d PSF DRIP cAU9R4z� 9332E507 ALPDZ GAPEtiOPS AV6 )uR 01 70QA OILY. S1E[L 14KfIW ASt14 APPLY 00111*00 NACC Of DUtPFAENtB. ULEST OTWEPMI6E I/AItCATER tOP t"" SPJLL to LAIEULLLY Lormt WIN FWPEP Tis D. C043846LL AUSDEVIAI)0'I wB EOMPT AS EIOTED. S TO EACH O . 0 P5F CA -ENG M �-- . IPUSS AIIO u+LIEN OIWCEBNETA lOCI7Rl OU THIS OCSIGP. PODITIaII OESIG4 Lf ATTACWD PLYWOOD SKA7"I1C, BOTIO" CRAD, PIT" PPOPEPIT A114'1QD PIGIO CEIL11" -- SE[ r'_ Mt),COINECTOCS `•A * 31•0 PSF PEII OPAS)rXS IV. 11" C laOAf, 1101"AQUS TOT.LD. _ SETT w THIIS UPt�IAIIpO AAPPLLIESY O 1�I+E Caa�anr KPI[IfO IEEPE DPI[¢ATAPPLICA710'1. i.,Pjlv[,41CO^� orr 1"] �jeOUR.FAC. EVf 1•25 [If pLY. AM SNlll r10i Q PEL[ED UPOII 111 AIIY OIIItA NAY. OESIGH iD iK tg15S LPCG1tON CtUIPU:iW, 1 p p O C7 t= O TRI Y'I1�1�OP SPACING 24. 0" I. -IPI - TPUSS PLATE IINTTTuIE /D6 • 1991 DAT10!IAL GESIMI sPWIFIC4Tl011 9000 0XISTILZII'OI, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 December 27, 1993 Gheorghe7Rotbasean RE: Returned Check 2 Stallion Ct. (A.P. #068-150-003) Oroville, CA 96966 Dear Mr. Rotbasean: Your check #201 for $554.70, which was written on 11/10/93, was returned to us for nonsufficient funds. Since this check paid for plan checking fees for a building permit, replacement of the check plus service .charge will be required within ten days of the date of this letter. Replacement of this check.($554.70 + $25.00 service charge = $579.70) must be in the form of cash, money order, or cashier's check. Should you have any questions concerning this matter, please contact Anne Brandel of this office at (916) 538-7541. MCV ahb. A3 L.1 ,btCC/ C�eLC4 E dont- cl o. `f (n o r T X Q b o R`I 3e kid r P1 tG,�S 10 Cler1T✓QI ep/1�e[jc7a�S i k JtA nQ Yours very trul ,Mi hael C. Vieira, C. .O. Manager, Building Inspection MEMORANDUM _ �v TO: FROM: COLLEEN- BOTTINI,- -_BUT COUNTY -TREASURER SUBJECT':'- CREDIT DEPOSIT -CHECK - DATE: A check deposited by you=*"department-has been returned by the bank and cannot'be redeposited.. -•A copy -of the check is enclosed. It will be charged back'to,you on a credit deposit with the next week. Within the next three working days, please provide the informa- tion as'to -which funds to charge. If we are not provided with the .information from . you, we -will charge 'the check to the fund we feel is correct. You can then verify•the credit deposit when received and if the fundis incorrect, processa transfer. The procedure has become necessary because of the lack of response to this memo by some -departments and the time involved in making follow-up telephone calls. If you have any questions, please call me at (538-7576) TO: COLLEEN BOTTINI--TREASURER'S OFFICE AMOUNT: S /J . �%� MAKER: G boor CHECK NO. 07 FUND: 90 REV CODE: 10SCO NAME AND DEPARTMENT 6, i �c� n�Q IBJ V i S 1,0 r DATE: 11%8/ 73 m,sq U_ I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I -34-118 PERMIT N 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. 1 9 . _ 'e- a— .') /1 _ P wev"A4A /.cam ( 4;0 Q- r/' e- Date zg Inspector "— REV 10 92 I' COUNTY OF BUTTE t; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 _ -L CORRECTION NOTICE 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 is co feted. If you have any questions pertaining to this matter, or need additional explanation, ple se contact this office immediately. B49 1 �( 1/yi, i T /' �-a . ,; ��40eYV C� ' �✓C x'1941/!/LLGd�'GG ( litsr a ' r C DateInspector,�-- REV 10/92 COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville; CA - (916) 538-7541 { 747 Elliott Road, Paradise, CA - (916) 872-6307 - CORRECTION NOTICE a_ LeJ-7- 3 6' CrWNER 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, D 0 J 1 C'�----o ,e--.> yr rt-� �, I Date % Inspector, 27//X REV 10/'.2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 •- . 7 County Center Drive, Oroville,4,CA - (916) 538-7541 - 747 Elliott Road, Paradise, CA - (9.16) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of ButtecounW Ordinances exist at the above address and should be corrected. Please notify this office en correction of work is completed. If you have any questions pertaining �m�atter,d additional explanation, please contact this office immediately. cwoGk-Ky Date `t Inspector REV 10192 ENDORSE HERPay to the Olde! Of purer Of CO'Mtq Of Butte FOR DEPOSIT ONLY Butte County pept. of Public Wocks ' c ^Boildmg Dcpartmen o J DO N�'�$Eis;At:;JR S 47 THIS:LINO IP�O Z 01 t • a}tr C:f�F � �.I".I � I I P. 1 b ;6 -�--- � vw ;".;'��•` 1..1.;1 041 i Inlul Ilk rwl ' nal r.;:t tQTc..•:i i• Uf' ry:r-a 90 S-`cte'Y Rr....w-:.o4Z>la,mrn!I� Eton: , X11,'1" , r ca ar ft FEDERAL OOAR'O ri.,WC0YBA:I0RS N II� ACG. Cl I MEMORANDUM TO: E SveSFROM: COLLEEN BOTTINI, BUTTE COUNTY TREASURER SUBJECT: CREDIT DEPOSIT CHECK DATE: 14 �O A check deposited by your department has been returned by the bank and cannot be redeposited. A copy of the check is enclosed. It will be charged back to you on a credit deposit with the next - week. Within the next three working days, please provide the infbrma- tion as to which funds to charge. If we are not provided with the information from you, we will charge the check to the fund we feel is correct. You can then verify the credit deposit when received and if the fund is incorredt, process a transfer. The procedure has become necessary because of the lack of response to this memo by some departments and the time involved in making follow-up telephone calls. If you have any questions, please ------------------------------------------ call me at (538-7576) --------------- COLLEEN BOTTINI--TREASURER'S OFFICE-.' AMOUNT: I, O O O. o o MAKER: CHECK NO. 33 FUND: REV CODE.- ODE:NAME F-�' —4q Y7, 01 y °� JOS O C? NAMEAND DEPARTMENTJ %� Bldc5 biv, , DATE: �I�SC [� i 3,. o O 4 la 1 -7 0,4 0 �;✓��robc�c1 " ' 11 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: IMPORTANT. SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated t ,sW day of , 1956 at Calif. ignature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation [ ] or Specific Board Approval [ ] (Check one) for the same. Dated this day of , 19_, at Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS_ TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and unit prices of articles furnished or delivered. Claims must be certified by,the claimant and submitted to the Department head -for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested for material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. ' � i9 REFUND CLAIM APPLICATION CLAIMANT'S NAME _ il-4-1- "B -e l 90 `. �f- S t -z -,-q xy MAILING ADDRESS ASSESSOR PARCEL 4 �lv / Sd D D 3 PERMIT RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt numbers) for, the following reasons: A-� Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) `\ Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. /x S I GNATURE n \ DATE A�q to Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) `\ Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. /x S I GNATURE n \ DATE FOR BUILDING DIVISION USE: Receipt Information: Number: Date: Issued To: 65 Amount: Fees Retained: Processing Fee: $ Bldg Filing Fee $ Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ TOTAL REFUND DUE $ q, -, 068-150-003 PE RMIT#,-96-0799 \ ROTBASEAN, Gheorghe 2940 OroaQuncy Hwy, Oroville New Single Family. - S,� 5fi/4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION a 7 Lounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/x% R�No• APPLICATION AND PERMIT 'o—em o—e !`�J ASSESSORP�A�RC(��L-NUMBER� ZONING ZlyC BUILDINGPERMIT OWNER TELEPHONE^ SO. FT. OCC. BUILDING VALUATION OWNERS I�IgI-U ADDR O� 1 C li CO R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU ON LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITE R ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS,(� Li% o (� PERMITFEE $ Q f PLUMBING PERMIT Filing Fee 20.00 21 j/A Each Trap 7.00 - ,O LOT NO. SUBDN610NSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15 •QC) USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 ) 0Q Gas piping system 1 - 5 outlets 15.00 i5 0 Building sewer 115.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home ISI G *41 @20.00 PERMITFEE S �a Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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, 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. 0 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) BAL Q 1:50 Ex. Occu FIXED APPLNS. OR p (ouTLErs (REslo.> Ea) 5.00 Temporary Service 23.00 `— Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 g Heating %S Cooling; . j Hood 6.50 Ventilation PERMITFEE $ Contractor 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'HAZ. 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. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ , I D. FEES I IMP I FL; CDF PARCEL I PD HD tssUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B �'Plt y PERMITEXARESON the applicable provisions Resolutions to do work been paid. /^ Date (Date) Receipt No. /La Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI NSPECTOR GOLDENROD -APPLICANT rc� � AA ,'a4t9in',r"4jy/.7t'_w.Y'r4`„'.rr.*. r �..r ..f •r.,. .-. .r. ,. COUNTYOF 15UTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT AP LIGATION DATA SHEET OWNER c4edr l /41044 SCiQ 1*11/ p - A. P. No. Proposed Building Use E u, %'- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY V 1. All items ham, been submitted . ........................................ 2. Plot plans,,6314 s, signed by preparer of plans. ....... ................ . 3. Complete plans j4 sets, sign d bv, xepar„er oLpJaas. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome dlavl manufacturer's installation instructions, 2 sets.'.. . 10. Fees of $ k ..' 11. Impact fees^as-shuWn o attacttv'd-sctffdut� 12. California Department of Forestry plan approval/feesld! . .............. . 13. Flood elevation letter (100 year floo, by CP litenia Engineer . ............:.... . ( 14. Sanitation and plot plan approval A V1 Health Department. ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for Pn a"sp.9 "'�4° required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. r Owner -Builder Verification (Given to owner , Mail to owner ....... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel geationind 60 right of way to a public road. .... . 27. Letter of intent on building use. .(__" i- 0.a�� . 28. Mobilehome utility clearance . ........... �............................. . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Wh�ra-you issue the permit, process as follows: Mail o owne , /� Mail to contractor. 11�� Telephones&*- Mitt and hold for pickup at r�q ✓+ !!e office. Deliver with inspector. Other Parcel Creation Acreage Applicant """- Date oi, A�-- 96 1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 }abor and materials -for construction of the proposed property improvement: YES[` ] NO[ J. 2. I HAVE [V J HAVE NOT[ J signed an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ` ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: 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: w1 SOCIAL SECURITY NUMBER: ��©^ DATE: ��°' ��' 70 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the�California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not lice_ nsed as contractors or subcontractors, then you may be an employer. 0 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 tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 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 "ownerbuilder" 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. Sincerel Yf i..rut✓i./C`.�i.G Lam` Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O%Nmer-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ER IT o. APPLICATION AND PERMIT �(y ` ASSESSOR PARCEL NUMBER 068-150-003 AZONINGR/HC BUILDING PERMIT OWNER GHEORGHE ROTBASEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2940 ORO QUINCY HWY OROVILLE , 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNW40WN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2940 ORO QUINCY I-IWY PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 OROVILLE; 95966 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other • SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5- outlets 15.00 Building sewer 15.00 TYPE OF WORK New 1� 'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3 •BEDRO01\1 — Mobile Home S G Ew7 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 • Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 undt-r 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 NEW CONST. DWELLING OCCUR - OR ADONS. ( 8 ACC. BLDS. ) so. 3.51t FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) ' 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Q .50 Ex. Occup. ( OUTLEETS (RESIoJOEA) 5.00' Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 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 comply with those provisions. p/ X Date ' ✓ ' / f� YORA'4tw� Signat of Applpnt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 195172 — 911.00// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNT1( OF;EiUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive;,,Orovi.11e, California 95965 - Telephone (916) 538-7541 PER IT NO. APPLICATION AND PERMIT V&P ASSESSOR PARCEL NUMBER :068-150-003 ZDNIAR/HC . BUILDING PERMIT OWNER GHEORGHE ROTBASEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2940 .ORO QUINCY HWY OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTIONLENDER NONE ' �' UNIOVOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE �+ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2940 ORO QUINCY F1W 1 PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 OROVILLE, 95966 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE SF ❑x Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New 13X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDROOM — Mobile Home _Pq G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( zOOA DR LES200V ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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: 4� 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� 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 NEW CONST. DWELLING OCCUP.SO. OR ( d ACC. BLDS. ) 3.5Q FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERSINGL APPARATUS ) a NGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL .30 Ex. Occup. (OUTLETSFIXAPPLN . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to Workers' ` compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw comply with those provisions. Q�'13 / c X Date r Signat of Appliipnt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 'PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 195172 — 911.00// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMJT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-150403 ZONI"h/HC BUILDING PERMIT OWNER GHEORGHE ROTBASEAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2940 ORO QUINCY 11WY OROVILLE, 95966 CONTRACTORS NAME OWNER VTYl`LEl TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE (�(, UNI(NOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2940 ORO QUINCY WY PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 OROVILLEo 95966 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 01 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 11Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDRM4 — Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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.Ex. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: m� 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. 113 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.5¢ FT. NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 1@7.50 POWER APPARATUS (a SINGLE OUrLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL P .SO Occup. (OUTLETS (RES16 OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / X0.064,1.1 ______ Date Q'+�'�%� �C! 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. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 195172 -- 911.00// WHITE-D.D.S.-B.D. `CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,COUNTY OF BUTTE 7 .County Centel DEPARTMENT OF DEVELOPMEN- SERVICES - BUILDING DIVISION Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT Vi _ 070 ASSESSOR PARCEL NUMBER 068-150-W3 zONIrit/HC BUILDING PERMIT OWNER „T/iT,�j WORR=A[E N X2940 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ORO QUINCY WY OROrI•.>t->t,.' 95W CONTRACTOR'S NAME OWMI TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER Non UNIWOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. ll1l Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2940 ORO QUINCY IWY PERMITFEE $ MVILLEf 95966 PLUMBING PERMIT Each Trap Filing Fee 20.00 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SF ❑� Duplex ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home S G W 920.00 +� New ❑' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3 BEDROOM — Contractor PERMITFEE $ ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 2o0A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( s ACC. BLDS. ) So. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (ouTlFr OR FIXTURES ) BAL 9 I.50 Ex. Occup. (OUTLETSIXAPPLN . OR ) 5.00 Temporary Service 23.00 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Mobile Home Facilities 20.00 Law for the following reason: O 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. Misc. Wiring 23.00 'EJ 1, as owner of the property, am exclusively contracting with licensed contractors PERMITFEE g to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 9 Heating 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. Cooling Hood 6.50 Ventilation ❑ 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 PERMITFEE $ Contractor Policy Number Mobile Home Installation Fee $ Energy Inspection Fee $ (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 OCC CONST. TYPE TOTAL FEE $ 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 HA2. I D. FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions / X _�r t1 r? 4!Date`' _ U r Signature`of Applipant - ❑ Owner ❑ Contractor ❑ Agent of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. BY PERMITEXPIRESON I Date (Date) Receipt No. 9S172 -" 911.00// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plans must be available on the job site. 068-'150-003 ---- - -PERMIT#96-07.99 CROTBASEAN, Gheorghe 2940�Oro4uincy Hwy,, Oroville " "New'Single -Fami-ly - - -- PERMITTEE MUST CALL FOR INSPECTIONS rooungs Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab rsougn mumoing Rough Electrical Rough Mechanic Framing Shower Pan Insulation Fireplace Footing Fireplace Throat .......Do No1.Continu.. Fireplace Un1J .: ove:S; gne.d ;o Lath ch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ormation . 24;Hr..lns Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 1,4ivD GF NIATU2AL W. EALTH A1\1D BEAUT BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538.2140 Dear Property Owner: We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining. to the construction,,please do not hesitate to contact this office. Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection N RE:' Attached Building Permit Dear Permittee: �iuite Count LAND OF NATURAL W E, A L T1 ri, Ai;J __. -_ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (9161 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy -clearance. Before occupancy, all of the "final -items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. Uyon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. r Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments A- RESIDENTIAL 068-150-003 PERMIT#9.6-0799 JJ ROTBASEAN, Gheorghe j 1 2940 Oro-Quincy Hwy, Oroville New Single Family •F . JOB FINALED (Date) Signature V=OK O = Not OK NotRea�,ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; location -Test -Fall -C/O -Concrete 4. Water, Location -Test Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / IV% / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance - 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged - 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 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-DepthSpacing-Connectors-Steel 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. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date 'Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date _ Card B-1" Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's --- ------16.--Water Htr.: Vent -Access -Combustion Air -Baffle ------------------------- ------------ ----- - - - - - ------ 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------------------------------------- --- --- 19. Shower Pan; Test. First Floor -Tub Access -----------20.--Test-Tub & -Shower.- Second - Floor -Tub Access -------------------------------------- ----- -- - - - - - - - - ----21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------- Date ------------------------------------------------------Date Card B-1 Date Card B-1 Date Card B -t Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------- - -- ------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------------------- - - --- -- ------ -- 25. Romex Installed Close to Edge of Studs & C.J. ------ --- -- -------`--------------------..------ 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --------- -------------------------------------- - ----- -------- ------- -- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------- - --------........... .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al -------------- ----------`-------------------------------------- .. 29. Range Circ. r , ga. Cu or AI -Oven Circ. I I ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - - ------------------------------------ ------ --._..._- .. 30. Service -Riser Conductors & Ground -Main Disconnect - --------------------------------------------------------------- ------- --- 31. Equip. Clearances Panels-Motors-Mech. Equip. - . ---------- - ----------- ------- -- --- ------- 32 Clothes Closet Light -Shower Light -Spa Light - ----- ---- 33. Smoke Detector ---------------------_-------- ....--.................. .._ ... ....... .. .... Date Card B-tDate Card B-1 ------------ .... ..._._.._ ......._ ... I---------------- --- --- --- --- --- -- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support --------------------- ---------................................ . . 35. Vent Fan: Exhaust above insulation --------- ------------ ... ....... ....... .. ... ... .. 36. Condensate Drain & Overflow: Size & Grade -------------- ----------------------.--- --- _....... .. .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - -. - ---- ....... ....... ... ... --- ._. ... ... .. 38 Attic Access & Platform if Furnance in Attic ------ -- ---- ---------- _ . _. ._ . ....... .. Date Card B t Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except rr's 39. Sils. Proper Material & Anchors .. ... ... . ... ... ... ... ....... ... ... ... 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - .. . ... ... .. .... ........... ...... .. 41. Bear ng Walls over Girders & Floor Nailing ... ........... 42 Draft Stop in Walls (rat proof) ...... ._. ..- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing >ingle & Duplex) - Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------------------ - -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---------------- ______ 51. Property Line Firewall & Openings _ -------------- 52 -Ext.- Doors -One 3 -Check Garage -3rd Story, 2 Exits ------ -------------------- _______ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers - ----------------- 55._Siding-Nailing Veneer---- -------------- eneer__________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------ ----- 60. Infiltration -Walls -Windows -------------------- ..------------------------------------------------- - Date Card B-1 Date Card B-1 - - --- ---- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except tr's 61. Ext. -Steps -Door & Sidelight Protection -Landings ------------------ - 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection .....------- ------------------------------ 64. Bedroom Exiting ... - -- -- - - ----------------------------- 65 G.F.I. & Bath Fixtures & Tub Access -Spa .... -- ---.... - - --------------- ------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------- 67. Stairs & Rails - --- ----- - --------------------------------- 68. Fireplace or Stove: Clearances -Hearth ... .. --------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. ------------------ - ---------- --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------ -- 71. Elec. Outlets & Receptacles at Kit. Counter ------ - - - - - - ---------------------- 72. -- ----------------72. Garage Fire Door: Swing -Landing -Closer 73. 73. A.C. Duct in Garage -Damper . _ ... .... - -- ... -. ------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ...... - --------------------------------- __----- 75. Plb.. Elec. & Mech. Equip. Listed for Location - -------------- 76. ----------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ---- ---------------------------- 7, -------------------------7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------------------------ 78. Guard Rails & Deck Construction -Post Caps . ... ... .--------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Followin g instld.a Onve ❑Yes ❑ No: Walks ❑Yes ❑ No: Planters ❑ Yes ❑ No . . -------------------------------------- ----------- 81. Stucco. Brown -Finish _..--------------------------- --------- 82 A C Unit: Disconnect. Electrical. Plumbing .. ... ... . ------- I ------------------- -------- -- ----- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings ----------------------- - - ------ - 84 --- --------------------------84 Water Well: Disconnect. Electrical. Plumbing - ------ -------------------- --------------- 85 Exterior Elec Trim: G.F.I. Receptacle -Underground ----- ------------------------------ 86 Ventilation Throughout House 87 Glass Protection ------ ------------------------------ 88 Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric ---------------------------------------------- 90 ---------------------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval - - - ------------------------------ 91 Energy Compliance Certificate -Other Certificates -- -- -- ------------------------ Date Card B-1Date Card B-1 . . ..... . ----­------------- ------------------ Date Card B-1 Dale Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CLAIMANT: ADDRESS: CITY & STATE: 1"1ATC /•1C /�I HIAA• County of Butte Oroville, California GENERAL CLAIM Gheorgie Rotbasean 2940 Oro Quincy Hwy. Oroville, CA 95966 noi17inZ /o/ q/ 03 QP SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet Pnrn+if No.: 02-7869 PA!D RETAINED REFUND ,Development Services $ 675.48 $ 134.00 $ 541.48 SRA $ 43.00 $ 43.00 $ - Sheriff $ - $ - $ - Other: $ - $ - $ - TOTAL $ 718.48 $ ' 177.00 $ 541.48 ...... . .. O. . . �t CQ�UIv` ':.AMOUNT::. Development Services 440-001 4210500 $ 541.48 SRA 0100 4617240 $ Sheriff 280 1011811 $ - Other $ - TOTAL $ 541.48 $ 541.48 I, the undersigned, declare under penalty of perlury inat the services or anicies ciaimea nave ueen penummu ur uenveieu, anu u— u— claim is true and correct as stated. Dated this `% j_dayof.�'7/IrLV 2003, at --- Calif._ / / mature of Claimant . I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is.a Budget Appropriation or Specific Board Approval (Check Qi�Ruthorized Dated this day of, 2003, at Oroville Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND nr) NnT WRITE RFI nW THIS I INF . A11nITOR'S 11SF ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. REFUND CALCULATION SHEET ' t CLAIMANT: Gheorgie Rotbasean ADDRESS: 2940 Oro Quincy Hwy. CITY & STATE: Oroville, CA 95966 DATE OF CLAIM: 09/17/03 APN: 068-150-003 RECEIPT INFORMATION NUMBER: 363973 DATE: 10/16/2002 ISSUED TO: George Tools & Die Machinery- CHECK #: 268 AMOUNT: $718.48 PERMIT #: 02-2869 Yes No Yes No Yes No Michael Vieira Building Manager J PRIOR REFUNDS: FEES VERIFIED X X REFUND BREAKDOWN DETAIL PAID RETAIN REFUND BLDG . 440-001 4210500 SRA 0100 4617240 SHERIFF 280 1011811 BLDG ..................................... ...................................... :::::::::::::::::::::::::::::::::::::.::::::::::::: ...................................... ::::::::::::::::::::::::::::::::::::::::::::::::......::::::... ...................................... :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............. ............. ............. ............. ........................ ::::::::::: ........... ........... ............. FILING FEES Building 20.001 20.00 Plumbing Electric 20.001 20.001 1 Mechanical PLAN CHECK Plan Check 206.051 69.001 137.051 137.05: Energy INSPECTION Energy PERMIT FEES Building Plumbing Electric Mechanical 317.00 317.00 317.00 66.43 66.43 66.43 OTHER BLDG' Overcharge SRA -BLDG Building $46 46.001 1 46.00 46.00 SHERIFF -BLDG Building $25 REFUND PROCESS FEE 25.00 25.00 25.00 BLDG TOTALS 675.48 134.00 541.48 541.48::::::: SRA -FIRE Fire $43 43.00 43.00 SRA - FIRE t SHERIFF - $335 Sheriff ........................... SHERIFF ........... OTHER NON -BLDG ......................................... OTHER $ 718.48 $ 177.00 $ - 541.48 $ - $ - $ - $ 541.45 BLDG SRA . ' SHERIFF 440-001 0100 280 4210500 4617240 " '1011811 CHECK: $541.48 , DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 9/17/2003 Michael Vieira Building Manager J REFUNb'CALCULATION SHEET RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED FILING FEES Buildin s. Plumbin Electric Mechanical .:. PLAN CHECK ...,,.Energy, SRA -BLDG Buildin $46�,;:: PERMIT FEES Buil.din9....., Plumbing Electric Mechanical OTHER Overcharge SRA - FIRE Fire $43 SHERIFF - $360 363973 PAID RETAIN 10/14/2002 `:`BLDG 440-001 4210500 SRA 0100 4617240 George Tools & Die Machinery 268 20.00 20.00 0.00 0.00 718.48 0.00 Feb -69 0.00 Yes No X Yes No Yes No 0.00 X 0.00 Due to refund of specific amounts PAID RETAIN REFUND `:`BLDG 440-001 4210500 SRA 0100 4617240 SH'ERIF, f280 1A1.1 20.00 20.00 0.00 0.00 20.00 20.00 0.00 206.051 69.001 137.05 ;' `137:05 0.00 0.04x 46.001 46.00.;; 46.00 317.00 317.00 ,; ^ :317:00 0.00 66.43 66.43 ? ;66:43' 0.00 0.001::: 0.00 43.001 43.001 0.00 o�`'TTFo . Butte,+County Department of Development Services Building Divaszon - O O - - .7 County. Center Drive ty Oroville, CA, 95965 (530) 538-7541 . REFUND'"REQU-EST,APP;LICATION: -: : REFUND, POLICY Butte County Code 3-41,(t) 1. Refunds can only be made, upon written request by. the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund'checks will be'made payable to the name on the receipt.: 2: x The request must be'made Within two years from the date of fee�payments on permits not issued, and two: ' years from the date of permit issuance for permits issued - if no. construction work has been done. ;3. 'Filing fee's and plan check fees for work plans checked are not refundable. 4. Fees* 'aid to other Count Departments are, not covered li this claim. INSTRUCTIONS: Submit this application to Development Se'rvicesfor determination.of refundable fees. 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NIEH O.0 .G t' C aC C . 4 €� : . - ".a.xx..: xz: Signat a Date K./Forms/ fund Application 082203 r' bz bz D�------------ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PMITo. (Rev, 12/9.0 • APPLICATION AND PERMIT ASSEssoa PAM&WI ER _ �y m► BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OwMM's WIUNO ADORES CONTMCTOR'i /MYE TELPi1gN! ' I 15OMTMCTORI/-8 WAJNO ADDRESS CONSTPAICTWN LENDER Pu:NDors Fireplace ►wuNo ADDRESS i Total Valuation $ ARCNRECT OR ENGINEER LICENSE NO. Filirl Fee $ 2O. O Permit Fee b APCWMCT OR ENOMEEA'S AUAUHO ADDRESS Plan Checking Fee b suLD•.o ADDRESS tl () ao, w Energy Plan Checking Fee S S PERMIT FEE S s A OS UOTNO. 9LIBDN610N8NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 ch Trap 7.00 USEOFSTRUCTURE SFDuplex O Mobilehome O Other ' a sPEC�FY � Solar at pump water heater 23.00 Water piping15.00 Each gas water heater t 15.00 TYPE OF WORK New O Additicinr Remodel O// . ' s O Insulation ❑ Other Describi \ 0 Gas piping stemoutlets 15.00 Building sewer 15.00 Home I S I G W Q2 —Mobile PERMIT FEE ! ELECTRICAL PERMIT Filing Fee 20.00 Main Service CoA OORR Ms 23.00 C i '� - PERMIT FEE PAID $ `vJl \o/ G� SRA \ SHERIFF $ ✓jl`-�) OTHER $ _ /j Main 200AWEL TO 48.00so �P . OCU000A NST,Service NEW CONST, DWEiLDq OCCUV. SO OR ADONS. i ACC. BIDS. 3.5¢Fr. NDNRESID. MULTFOUTIET @7.50 i S•IOLE OVRET q0. 2! Ex. Occu ovnET OR iDRUREB0 �•F!!�a6h:f�- EX. OCCU ImEr�PVL"slOR Es D. FA 5.00 i Temporary Service 23.00 ` Mobile Home Facilities 20.00 11 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin � Hood 8.50 I Ventilation PERMIT FES f Mob17e Home Instillation Fee � Energy Inspection Fee S D" col ' TOTAL FEE $ - NA.L WP D CDP PO I/O ISSUE This permit Is h-& elSe4j.riller the ap provlsions of the Butte County Codili and/or Resolutions to do work AMOUNT. RECEIVED RECEIPT- # ..... Indicated above for which fees have been paid. By PERMIT EXPIRES ON Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBERy LA' �" `y*%B Proposed Building Use: `"�`yl�) vii 1V Counter Technician: Date: U I 1 GAO Items required in order to apply for a permit. All box 's MUST be checked OR Wrked NA in order to apply. 1.. Plot , 3 or 4 sets, signedky the preparer of the plans. �, 2. omplete plans, 3 or 4 sets, signed by the preparer of the plans. J , 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. c,, elk -IT,4. Engineered truss details and layouts in duplicate. No faxes! 5. 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 by the engineer. 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 rO8. 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......................................................:.. 1 etached Accessory Building Form filled out by the owner ..................................... 2. Hazardous Material Form............................................................................... _ ❑ 13. Other R74Fees. g items needed to issue the permit. (May require additional plan review upon receipt of the following items.) s shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings ............................................. 6. Sanitation and plot plan approval from the Environmental Health Depart ent in &('6 ;C Vjegalifornia 17. City of Chico Plumbing permit ......................................... Department of Forestry plan approval Laid. Sent by�: Planning approval for (A) Use: (B)Parking: (C) Par el Check: 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... A21. 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) ...................... [), 4. Worker's Compensation Carrier �as tl Policy Number ..............:.............................. 5. Owner -Builder Verification (Q�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 Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone ­7 GT-ul� �an hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: /0' 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Vallnvr R71.17.,., n phone, ❑, mail, ❑ counter, by phone, ❑ mail, ❑ counter, by Plans approved by: _Structural approved by: r.�r* )g f42�v) — )0ff7URi4160 ez ��oAj Plan Check Letter Date: Date: Date: Date: F/^ ^' E.M. USE ONLY Plot Plan Attached WA Floor Plan Attached Sent to B.D. W TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance j�/ 6q5 ec-vA e6lf\ . QP9Yv D/- Owner / Locati AP# Plan Approved for: Sewage Disposal ✓ Water Suppl Public-!!!!!*' Private Well Clearance for dwelling. Other �a X 3aQ6 Qdi r, dop. Hold final for: Final cl��--��� ^ " `-- NOTE: Environmen 8/96 ealth Specialist lis /Za ,, Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 1 0 ?q NO. (Rev. 12/96) APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER 069-190-003 ZONING AP BUILDING PERMIT OWNER RnTRAqFAN HONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS ' CONTRACTOR'S NAME %HONE QWNFR CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2940 ORO QUINCY$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other COMMERCTAT. 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: ADDITION In SHOP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 20OA 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: If I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zoOA TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BI S. SO 3.50FT. p6IDT MULTI -OUTLET 97.50 POWELER APPARATUS a SIN GOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL p 1.5000 F%ED APPLNS. . OR Ex. Occup. GUTLETs RESIDEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 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 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 co with those provisions. ® / ,,QO©r- . X d Date �/ Signature of A icant!- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD I CDF PARCEL PD 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 rReceiptNo. 363973 $629.48 ITE•D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A00 ........... CDF FIRE SAFE REQUIREMENTSS 8 3 62, A7/A4Q,:Jj a phi AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. ['N 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�1 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app--rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [� 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of \ curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100=200 feet. [ 2. The length of vertical. curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. f 1273.05 Turnarounds. If required, will have a minimum turning II" radius of 40 feet from the center of the road. (�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. J:.1270.10 Width. All driveways shall provide a minimum 10 foot. traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3. G 9 02:- 2.� I . eozn6�r-'J 6440A(::�4E AP # PERMIT # NAME [] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. -A turnaround shall be provided at all / building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider.than / the roadway it serves. / 2. The gates must be located at least 30 feet from the / roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [� 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 ac e, to al jurisdiction shall provide for the same practical effect. See Other Requirements below. Il, 1276.02 Disposal of Vegetation and Fuels. Disposal; including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion -of road construction )r fi:ial inspection of a building permit. Page 2 of3 WZA IJ; AP # PERMIT # NAME Other Rectuirements KI If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3.. of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials /p -f7-0 Date Signature Page 3 of 3 PROJECT PROCESSING RECORD Applicant: ' ���e Owner: A. P. #: n03 Permit €i: 2` Work Description: Date Description of Step or Status r 2 f �- - February 10, 2003 Gheoghe Rotbasean 2940 Oro Quincy Hwy. Oroville, CA 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 068-150-003 Building Permit Number: 02-2869 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: 1. Provide three sets of plans. Plans must be drawn to scale. Provide four elevation views of the structure. The elevation views submitted do not match the floor plan submitted. Provide a complete foundation plan. Provide complete roof framing plans. Provide a complete lateral analysis of the structure. Remove diagonal bracing and provide engineered shear walls or bracing by Uniform Building Code. Provide correct dimensions on the plans. You currently show an 18 foot long wall with a 16 foot overhead door, a 3 foot man -door and additional wall area -how does this fit into an 18 foot long wall? The entire set of plans is to be stamped and signed by the engineer or architect of record. Incorrect square footage is shown on the plans. 30'.6" x 62' is 1891 square feet. 2. Provide a complete code analysis for this structure/occupancy with all items from the enclosed worksheet address on the plans. The design for this building both code. requirements for occupancy, exiting, type of construction and lateral is to be done by a licensed architect or registered engineer. The engineer or architect of record is responsible. for the entire plan. The entire set of plans is to be stamped and signed by the engineer or architect of record. 3. All requirements from the lateral analysis are to be detailed on the plans. Provide a shear wall schedule and a braced wall schedule if used. Interior bracing is required at 34 feet on center, through the building unless an analysis is done for all four sides of the structure. Three sides and the interior of this structure do not meet code requirements for bracing. 4. Engineer is to review and approve the truss package per his lateral design. 5. Owner is to provide a letter stating what kind of shop this is. Provide information regarding processes and materials used -what is being manufactured? Provide number of people employed at this shop. Does public come to the business? 1 of 2 6. A complete review of this project cannot be accomplished until plans are complete. You can accept that there will be additional questions once complete plans and supporting documentation is received. 7. Provide handicap accessibility requirements. Show path of travel and parking. 8. Contact the Planning Department at 538-7541' for approval of this project. 9. Contact Land Development Department for approval of this project -538-7266. If you wish to discuss any of these requirements; please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner CC: Charles Donley, P.E. 2 of 2 July 20, 2003 Gheorghe Rotbasean 2940 Oro Quincy Hwy Oroville, CA 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 To Whom it may concern' We were asked to write a letter to you stating the following things: We are to provide information regarding process and materials used—what is being manufac- tured, number of people employed at our shop, and if public comes to our business.. We are a tool and die machinery company which makes parts from different kinds of metals. At the mo- ment there are no people employed in my shop but in the future I may employ a person or two. Sincerely Gheorghf 'O`VNER-BUILDER VERIFICATION Anencion Property Owner: An "owner-buildef building permit has been applied for in your name�and bearmi g)r6ursii�oapa+e Please complete and return this information at your earliest opportunity to avoid.nooeoe��aq in processing and issuing your building permit. No building permit will be wed until 8ds verification is received. I personally plan to provide the major labor and materials for construction of the pt+opoeed property improvement: YES E3 NO'O I HAVE O HAVE NOT C3 signed an application for a building permit for the pe+oposo WO& I have contracted with the following person (firm) to provide the proposed • NAJ E: AD SS: CITY: PHOYE: COr'TRACTOR'S LICENSE NO. 4. I plan to provid rtioas of this work, but I have hired the following on to cootdioaftj supervise, and prove the major work: ' NAME:— ' ADDRESS: C PHONE: C VTR7CTOR'CENSE NO. I will provide some of the work but I ha <(ired) the following persons to prOtiide the work indicated: NaNIE ADD E TYPE OF WORK GNED: PROPS SOCIAL SECURITY NU113ER: DATE: l'9 • NOTE: Owner -Builder Verification is required by Section 198.11 and IgW aAd California Health and Safety Codt This verification must be toarkftd Fled returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION 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'Ownerbuilder' you are the responu'bk party ofr+eeoedansuch a permit. Building permits are not required to be signed by property owners unless they are personalty perfoetniog� ime — own work. If your work is being performed by someone other than yourself, you may protect yourself from pouible 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 Ucense 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 ibould 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 (iincluding materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcorttactors. then you may be an employer. ♦ I; -you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be Financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect fo worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, i f You wish, the U S. Small Business Administration). For more specific information about your obligations under Save Law, ccrmct the Department of Benefit Payments and the Division of Industrial Accidents. If the ucture is intended for sale, property owners who are not licensed contractors are allowed to perform their str 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 corununity er at 10=0 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. .11M ,' eIC' Vi iia, C.B.O. ger, Building Inspection NO TE: This 0wmer-8uilder Information is required by Section 19810 of the California Heald' acrd Safety Cady OVER COUNTY OFUTTE DEPARTMENT OF DEVELOPMENTS VICES - BUILDING DIVISION 7 COUNTY CENTER DRIVFj OROVILLE, CA 95965 538-731 CERTIFICATE This building has been constructed and completed in Code under permit num OCCUPANCY .ordance with the requirements of the Uniform Building 96-0497 for the following: Use Classification T of &Die Machine Shop Address or Location 2940 Or <: -Quincy Hwy, Oroville, California - Group: F-2 Occupa y: Type V -N Construction. It is hereby certified for the Date: 08/26/1997 described above and may be occupied.. By Scott Ruther ord Chief Building Inspector - COMMERCIAL PLAl1LCHECKING GUIDE (1994) U.B.C. OWNER: I `Dt'ba64e&n BUILDINGP ER: ! -d .PLAN CHECKER: A-PNUMBER: (969-150 --603 A. GENERAL:- .K Zoning requirements, Planning approval.. Valuation. Ile, Plans signed by an engineer or architect. A- Proper description or work on application. ; y3' Existing violations on property. - Items on data sheet (W.C., fees, Health, Impact Fees, License Law, etc.)..- ` Improvements or drainage, Land Development approval. B.. = : PLOT PLAN: Complete -parcel size and dimensions. ,f �• Setbacks, sideyards, easements, etc. -- Other buildings or structures. ' !- Grading, fills, drainage. - 2-' Flood hazard Special conditions on creation map (noise, C.D.F., sprinklers, foundations, etc. F.A.U. 8t F.A.S. road set back - - Building or utilities across lot lines (Lot Merger). C. OCCUPANCY REQUIREMENTS: Building use: -fool 6 �Di 1l Mot" 5W Occupancy Group: 2- Type of Construction: 5�• Building floor area: (D00 OccupantLoad:. 8 Basic allowable floor-wea �2i T---'-r'l-__.au n' �q. lt., I zu auuwav►e,' or area: Basis for increase: 1. Compliance with specific occupancy requirement. Occupancy separations (Section 302). 3. Area separations (Section 504.6). Firewalls due to location on property (Section 503). 5 Maximum height requirements (Section 506). 6 Draft stops (Section 1505). 7 Ventilation and special hazards requirements (Section 3). 8 Automatic fire sprinkler system (Section 904). ` 9 Fire alarm systems (Section 310.10). I Mechanical code requirements (Grease hood w/fire sprinkler system - Section 507). 1 Environmental Health Review - (a) Restaurant Act, (b) Commercial Pool, © H Occupancies. 1 i. Smoke detection system. 1 C.D.F. or State Fire Marshal plan review. I Electrical Code Requirements (Medical- Article 517, Assembly - Article 518, etc.). I Physical Disability Requirements (Title 24). 1 Wholesale Food Manufacturing (Plans to state DHS/FDB). TYPE OF CONSTRUCTION REQUIREMENTS: Roof covering requirements (Section 1503). Parapet walls (Section 709.4). Toilet room floors and walls (Section 807). Guardrails (Section 509). February 1996 3.4 Detailed types of construction requirements. Proper roof pitch for roof covering (Section 1507 & 1508). Attic access and ventilation (Section 1505). 8. Roof drainage (Section 1506). 9. Skylights Section (2409 & 2603). ' 0. Stages and platforms (Section 405). 1. Interior wall and ceiling finish (Section 801). 1 Fire resistive requirements. Walls, floor, ceiling, penetrations (Section 702). 1 Wall and ceiling covering installation (Section 2500). 1 Glass, glazing, Human Impact - Safety Glazing (Section 713.9 & 2406). 5. Foam Plastic (Section 1715). STAIRS- EXITS AND OCCUPANT LOADS - 1. General Exit Requirements (Section 1001.4 & 1006.3). - Number of exits, width and locations (Section 1003). Doors (Section 1004). - f Corridors and exterior'exit balconies (Section 1005). 5. Stairways, rise and run, width, winders, and construction (Section 1066). 6. Horizontal exit (Section 1008). Exit and smoke proof enclosures (Section 1009). Exit signs and illuminations (Section 1013). Aisles and seating (Section 1014 & 1015). 0. Exits for occupancy groups (S'ections 1016 - 1019). 1.- Floor level exit signs (Title 24--& Section 1013). MISCELLANEOUS REQUIREMENTS: Masonry chimney (Section 3102). Veneer (Section 1403). Special Inspection per U.B.C. Sectio_ n 1701). High Strength Bolting. Field Welding. - Masonry (full stress). Concrete (f'c>2500psi). Special Certifications - Mill Certificates. ` Expansive soil - Special design. CUL/Fill slo^es romnaCtt.^.n tPetc � artinn Y Y > E•' ...C. Noise requirements (Planning, Appendix Section 1208). Weld electrode, welder certificate. ENGINEERIiVG REQUIREMENTS: Complete calculations, correct design criteria. Complete shear transfer details, roof to foundation. Complete structural material specifications. Shear wall anchorage based upon wall shear. Roof diaphragm chord, collector, drag struts. Combined tension and shear @ steel RF anchor bolts. Braced roof and wall bays. H. OTHER: February 1996 3.5 r�- Permit Applicant- GHEORGHE ROTBASEAN Permit Number. 96-0497 Assessor Parcel Number: 068-150-003 Date: 3/18/96 The above referenced buiz ng . plaw were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 4 . 1. BUILDING IS,REQUIRED TO BE HANDICAP ACCESSIBLE. SHOW REQUIREMENTS ON PLANS INCLUDING HANDICAP ACCESSIBLE RESTROOMS INCLUDING SIGNAGE, REQUIRED LANDINGS, LEVEL AND CLEAR AREAS AT ALL DOORWAYS, BRAILLE SIGNAGE WHERE REQUIRED. PARKING SHALL PROVIDE AT LEAST ONE VAN. -ACCESSIBLE SPACE - HARD SURFACED. HEIGHT OF WORK SURFACES AND COUNTERS. SHOW COMPLIANCE ON PLANS. 1,10�e on plZ116 x PLOT PLAN IS NOT IN AGREEMENT WITH PREVIOUSLY SUBMITTED PLOT PLANS. ALL PREVIOUS SUBMITTALS SHOW EXISTING HOUSE ON LOT TO BE LOCATED ON NORTH WEST CORNER OF PROPERTY NEAR ORO-QUINCY HWY. PROVIDE CORRECT PLOT PLAN. P/19 PROVIDE HAZARDOUS MATERIALS FORM, AVAILABLE AT COUNTER. PROVIDE UNHEATED BUILDING FORM. 5. PROVIDE CODE ANALYSIS ON PLANS SHOWING OCCUPANCY, OCCUPANT LOAD, BUILDING CON- STRUCTION TYPE, SQUARE FOOTAGE VS SQUARE FOOTAGE ALLOWED. A,10& Ori p/o n S 6. EXITS MUST BE ILLUMINATED. AM& On (01CUnS 7. PROVIDE MECHANICALLY OPERATED EXHAUST SYSTEM FOR RESTROOMS. SEC 1202.2.1 8. WALLS AND FLOOR COVERING IN RESTROOM SHALL BE PER SEC 807.1.1 & 807.1.2 On V/ p tan N 9. PROVIDE TIGHT -FITTING DOOR ON RESTROOM OFF OF LUNCH ROOM SEC 302.6 vfG on pct? 10. PROVIDE LETTER OF INTENT FOR ALL USES AND/OR SERVICES OFFERED IN HIS BUILDING. NOTE: NO AUTOMOBILES WILL BE ALL014ED INSIDE THIS BUILDING. IN oh )n`itnS 11. PROVIDE CLEARANCE FROM HEALTH DEPT. 12. PROVIDE CLEARANCE FROM PLANNING DEPT FOR USE AND PARKING. If you wish to discuss any requirements, you may contact me at (916) 538-75.11 between 1:00 P.1LL and 4:00 P -M , Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER I. ' 6u co, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: (916) 533-2140 GHEORGHE ROTBASEAN 2940 ORO QUINCY HWY OROVILLE, CA 95966 RE: BUILDING PERMIT #96-0497 A.P.# 068-150-003 WITH.REFERENCE TO THE ABOVE SUBJECT, ATTACHED IS: [X] PLAN CHECK LIST ACTION REQUIRED: [XI COMPLY WITH PLAN CHECK LIST MARCH 18, 1996 SINCERELY, MARTHA WHITNEY BUILDING PLAN CHECKER LAND DEVELOPMENT (�//�� �'t�"'t4,'��. "'i'?.'.s; a"£.•r-o �7C:: �.T,.3,,,,`-'e`:..u„ - -r ,a.:.- . ....` � v/ BUILDING / ENVIRONMENTAL HEALTH`- PERMIT CLEARANCE Building Permit No. OWNERS A.P.` / n NAME: NUMBERz C( �I �•�0 �D�S� PR64T LAST NAME FIRST ' COUNTY ZONING �J DESIGNATION: �/ ` I FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS ✓ OR MAP Z • 9 '9 c DEED INFORMATION: l2 -' Quf ,j C DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO COMMENTS/CONDITIONS: 6444f 34 - /y -o 6-R&74_rB /�/R(dn- y49 , (PEPZ hemi - A5rEflo/Z oF. MAP INFORMATION: DATE OF RECORDING LOT BOO PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zo e. C. Meet current E.H.D. requl A CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISENOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a 5(o ft.building setback from r Wcenterline of 0(Z o I LL E d VI tJL i P+W _ 3. Comply with Zoning code for building setback from road. 4: Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from ` _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) A W 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the RRaning.Divisian. _ 15. All new residential buildings shall be constructed to comply with the requirements of: the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, -Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural- resources are encountered during ground_ disturbing activities, all work shall cease in the. area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. - 22. 23. 24. 25. 26. nt 3XIG 4b 1 AnOO L661 < 0 ddd C13AI303H LD 7/96 CAVVPS 1 \FORMS.K\BLDGPERM.CLR �' 0 - fm Frit _ �± Z4p orry r44T4 -.0,144 kr 1)�� A 10(0;0 m q�f-.6L g� � Mn1� PS ��S7Z1. J. �� rel Ot s�v 4F U51i � <VU �, 94. .,.IUT fd+-- X940- oho Q�� n��� aw�(, 0' otwl la,6 M, ISO(& M 4 o•oc .�l�Iv p WAP Ale �� `-,v4 1,X4 01V k �' i/X�TI� I�il • �V�%j '/^'^ M IP V441-41 ST f woo k446 tsz(s O M 4- 9+,&L " 9+,&L -..j f-kol , flol. .JUT ?top - oVo QoipJv(-a"r-f , 0j"I" CA, °l5gb(s U34 - az86 Ott �,�3�. V` .. ;�` �f �•, \• .. + '.68=15=03 + 734-90B,P,E,M l. t:� z DEBOS,. Henry to }.r•. ;2940 Oro Quincy Hwy, Oroville' 'r•_ ' Contr.:.John Poole :r (repairs pern_letter 0 . • �, 4�c j OFFICE COPY Address G Date, ELECTRIC Meter By Date i OFFICE COPY Addres GAS Meter By Dated ELECTRIC Meter By Date I j OFFICE COPY Address G Date, ELECTRIC Meter By Date OFFICE COPY Addres GAS Meter By Dated ELECTRIC Meter By Date Ak � ....;.:MgprarFs"'.",+r"„�'�'*�'�i4°'(.sy,�•.'��Kyflt.r7i.�;�g,-t��r/ci�'�,�q�l� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 t+ APPLICATION AND PERMIT s , PERMIT NO. 734-90 ASSESSOR PARCEL NUMBER 68-15-03 l ZONING ARHO' BUILDING PERMIT HOWNER jM�-{�+� 714 enryOWNER'S TELE ONE 995-;-82 + 3 SQ. FT. OCC. BUILDING VALUATION Est. 600 MAILING ADDRESS 8151 Bellhaven St La Palma CA 90623 ��CMOONTRACTOR'S NAME WWN. A-1911-0474 TELEPHONE CON A _ 'S M NG ADDRESS 3-50 Mt Qrrwi I le 95966 / F i rep l ace; CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 13.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2940 Oro QuincyHwy Permit fee $ 23.50 PLUMBING PERMIT Filing Fee 10.00 7A( Each Trap 2.00 10.0(y` 1' Oroville ZLI Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.M., Each qas water heater or vent 5.00 5.13V USE OF STRUCTURE i SF P: Duplex -1 Mobilehome❑ Other SPECIFY •( 5 Gas piping system 1 - 5 outlets 5.00 .10 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities❑ Installation ❑ btherTN Describework: Repair per special inspection .letter 4/2/90 Permit Fee $ 40.00- 0 00Describe Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the. Business and Professions Code'and my license is in full force ca effect. License No. Classification I, as the owner, or my employees with wages as their soje'compen- sation, will do the work,and the structure is not intended'Zir offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed ontract- ors. (Sec. 7044) . ❑ I am exempt under Sec. - , Business and Profess) ns Code for this reason 13 DWELLING OCCUP.a+ NEW CONST. hesgft 20.80 OR ADDNS. ( ACC. BLDGS. / NEW CONSTFLMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. 200 Ex. Occup(OUTLETS OR FIXTURES 9A 0830 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) _ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g z 15.00 prednspection 17 1 15.00 Permit Fee $ 55.80 WORKMEN'S COMPENSATION INSURANCE ) I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E]I have placed on file with the County of Butte Building D;2partment a Certificate of Workmen's Compensation Insurance or aficate of Consent to Self -Insure. I shal I not employ any person in any manner so as to beco subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply )th such provisions or this permit shall be deemed revoked. > Contractor MECHANICAL PERMIT.", �FiIirig Fee 10.00 Heating 6.00 Cooling 9' Hood 3.00 ' Ventilation Permit Fee; ' S" ' 16 00 • 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 represent atives.of the�Countyot Butte to enter upon the above-mentioned property for inspection purpotses. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against .saiiid County in co sequence of the granting of this permit. .. X 4_ - �� Date�y^5 -~ f O Signa re of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ —0c c CONST TYPE TOTAL FEE $' 135.30 HAz CUA PARK SCHL FLD PAR PD HD Issu This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have, been paid. DIRECT OF PUBLIC WORK$' By / Date t4,�1}� PERM T EXPIRES Date_ " l' Receipt No. 44 1,W1__1-7t)�, -� ((f�,r5 (� WHITE-D.P.W.. YELLOW-ASSCS90K, PINK -INSPECT R. GOLDENROD -APPLICANT ,�utte Couniti Jam'" L A N D' O F N A T U RA L W EA L T H A N D BEAUTY ' - DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way f33.7 County 'Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/538-7281 Telephone: 916/872-6308 Henry Debos 9151 Bellhaven Street LaPalma, CA 90623 RE: Special Inspection - 29.40 Oro Quincy Highway, Oroville, CA AP# 068=15-0-003 Dear Mr. Debos: On March 28, 1990, Mr. James Glan'der, Chief Building Inspector, and I made a special inspection of the above listed house following your request for an electrical permit. The house is a wood frame structure with aluminum siding and roof, with obvious electrical, plumbing, and structural deficiencies. e following corrections must be made prior to occupancy of the. st ucture: 1. Verify the water supply is "from a treated Oroville Wyandotte Irrigation District source. 2. Verify condition and adequacy of the sewage disposal system. Repair rear laundry ro and bathroom floor, and in side room off kitchen. 0 (11 ent all plumbing fixtures.' Provide new toilet in bathroom. VProvide an approved heating facility.• Rewire entire building to codes provide adequate receptacles. Replace -all defective. or missing fixtures, imiriate open splices, and unprotected wiring. Provide properly constructed front and rear porches, and provide porch stairs with proper'risers and runs. Verify underfloor and under mas`f ventilation. Henry Debos April 2, 1990 Page 2 l Provide proper installation for water heater with proper flue, clearance from combustibles, combustion air, temperature -pressure relief valve and discharge line, and gas shut-off. Complete interior repairs.of walls and ceilings. Remove ol'd damaged masonry chimney. Make walls, windows and doors weathertight. Pr ide nonabsorbent sink drainboards (no wood) in kitchen: Remove junked cars and refuse from the property. The dwelling cannot be occupied until all corrective work is done, and has been inspected and approved by the.Department of Public Works. Submit two floor plans, apply for the required permits, and pay the appropriate fees. Do not commence any repairs until permits are issued. Permits may be obtained at 7 County Center Drive, Oroville, CA. If you have any questions concerning the above, please contact me at the above listed location. Sincerely, Howard" . Snyder, Director Division of.Environmental Health HJS/mlf ,,' cc: Public Works-- Jim Glander COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE i ns 7 Tq s OWNER PERMIT NO. A routine, inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date I nspector"&"" .•:�s.:-'t--'���..--.Syg7°...-.+..--=,�.t,c;,gc .--.-_,..=� ,,..-;n .�.r..r..Yr-, • .......n._..-...=-ci...-.�,w..`.�....�.-...-:-.-:.--:r-r �.�,�,:....�. COUNTY OF BUTTE } DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE f PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 41 r Date Z %U Inspector &A`4— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 -CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office When correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. n 7 t • mF } r It 'Q l' Date—9/// F Inspector I ffect upon, or result in a need for new or YES MAYBE NO ......................... 11 13 .............. 11 13 .......................................... Q 13 0 .........................................0 13 ids? ..................................... ❑ 0 .......................................... ❑ 0 0 ? ........................................ 0 0 Iz iting sources of energy, or require the ......................................... ;w systems, or substantial alterations to the ................................. ! ........ 0 0 IM C- ............... M ............. 0 1:1 M ........................................... 0 0 to C- r" M M e 1 15) ��✓� �u) A--e�.l ke 17) 0aot upon, or result in a need for new or ^ �YES MAYBE Wo ^ [] [] 29 �..` �..........................`............. [] [] 91 ................................... I [] QD [] [] Wd Ju? ........—........................... [] [] �0 ..............�.�'���......���..��...... [] C] 60 .......................................... [] [] 00 ing oou,00a of energy. or ,egvi,n the v,systems, orsubstantial alterations tothe 0 00Q � ................................ ......... -- � O O � [] [] to ......................'.................. hIMROt3�"��A�'UT�IVIEaSS�AGE& , �rLEASE�CALL� � �� -TOR—' CAME 1'4 S 0 DATE IME P.M.: }�, �Y'Sas.t'SSgy S' OF ' O a ,:�%A �+'l�'✓3��.vb.'��5."3.%�i PHO - - AREA CODE .NUMBER EXTENSION ESSAGE� It e--4mo 12 u 5314 SIGNED LITHO IN U.S.A. *TELEPWDNE c � TOPS FORM. -3002W � �rLEASE�CALL� � �� . ,, CAME 1'4 S 0 . 3�,r�u✓.i/��yv�b�>b'", .3.s�.sr��' ' �z's��:�,52`a''r� �,� �"r%�� 'n <, }�, �Y'Sas.t'SSgy S' fl RNEDxYOUI�st,'ALI� SPECIALATTENTION� ° ,:�%A �+'l�'✓3��.vb.'��5."3.%�i .cid�Y�;a,£�", fiSiS�d�'..U`E$�/r'e�n� .. � �� ..,y p A4 (� 1 � i IE l \�• - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.Q 7 County Center Drive 0 0.�1 e, C Ifb nl 95965 - Telephone. 916/538-7541 734-90 A APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 68-15-03 1 ZONING ARHC BUILDING PERMIT OWNER HenryDebos 714 TELEPHONE 995-8274 SQ. FT. OCC. BUILDING VALUATION Est. 600 OWNER'S MAILING ADDRESS 8151 Bellhaven St La Palma CA 90623 CONTRACTOR'S NAME TELEPHONE 533-0474 N A S G ADDRESS '150 Mi-aViu- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 13.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 40 Oro Quincy Hwy Permit fee $ 23.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 10,00 oville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home Is G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Repair per special inspection _ letter 4/2/90 Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under, -provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B OR ACDNS. ACC. BLDGS. 2/z¢sgft 20.80 NEW CONST R. UTLET NO N•R ESID BRRAANNCCHHCIRC ITS 2,50 ea (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES zD 0 s0a eAL030 FIXED APLN Ex. Occup. OUTLETS (PRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misr,. bVirin g 15.00 15.00 Permit Fee $ 55.80 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 21,of Consent to Self -Insure. 2 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 Cooling g Hood 3.00 Ventilation Perm Permit Fee $ 16.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in cc asequence of the granting of this permit. X IJ/ _-S -q O Signa re of Applicant - Owner ❑ Contractor ❑ Agent iC ' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE ALL TOTAL FEE $ . 135.30 AZ CUA PARK FLD PAR Po HDL This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC By PE#T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date (,I�- 1# S Receipt No. 0 WHITE-D.P.W., YELLOW-ASSESSO • PINK -INSPECTOR, GOLDENROD -APPLICANT kfb'_1gyZhR�`aw,�Ys Yui, ��.+R'F �i N. w acc 7if" If COUNTY OF BUTTE -DEPART ME14T.OF PUBLIC WORKS - BUILDING DIVISION � 7,COUNTY�ENTER DOI,*CALIFORNIA 95965 -TELEPHONE: 916/538-7541 1 +_ 1L PERMIPAPPLICATION DATA SHEET Permit No. OWNER d� 6OS A . No. �/ 0 Proposed Building Use ff_1 12 Building Inspector Date At time of permit application, I was, advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... U(� 2. Plot plans in d Cate/triplicate, signed by preparer of plans ........ &-(f 9O �3cv 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. to - a -90 tscu 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form, .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . 10. Fees of � ,........................................... /_f L 9d �f %6? � J 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. Pke�'_ 14. Sanitation approval from Health Department (0-11- 961 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificatet6b 6Tmans Compensation Insurance .................. 23. Owner:e ilder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail t wner, Mail to contractor. — Telephone -7 L/ and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. it Pollution Date Copyofplanssent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ti Contractor, designer, owner, was advised of above required data by—phone ---inaiI jcounter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW 1.., Date Sets of plans on hold in File Plans approved by nets % P folder Date TO Buildinc. Departme t FROM: Environmental Health SUBJECT: Sanitation Clearance CEO - x �S ova Exner Location V AP# Plan* Approved for: Sewage Disposal _ Water Supply Hold Ifinal for: Water Supply Final clearance O.R.•for: Water Supply Clearance for bedroom home. Other NOTE** Date SanI r bA\ a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,, California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT ASSESSOR PARCEL,. NUMB^ % �D 20NIjJG 14 BUILDING PERMIT OWNER 6 ,� TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING A111 ADOR'61[/�J\ „��� G� COfy�$A�SS'S NAMEv���� /O NE CONC/T�J A/v/C T3 R,/'/VS/MAILING ADDRESS � �� / SL�•_(f�] /n{47- D Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu' c� AD E s w) / , / y Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK Rem del[:] Utilities❑ Installation❑ Other,00 New❑ Additio5emo,n_ Describe work: p /2 5,06G /Nl p f^177 L��a �C� 0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 001 OR LESS Main 1 600 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y p f y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification El 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ADONS. ACC. BLDGS. , 2/z¢sgft NEW CONSTR. MULTI -OUTLET NON-RESIO BRANCH CIRCUITS) 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES z0050t eAL@30¢ FIXED Ex. Occup. OUTLETS PIRESID )LNS RE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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 of 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 to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ HAz I CUA I PARK I scHL I FLD I PAR PD HO Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. WN,TE-D.P.W.. YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 oot Pio p o i/-,- To (, r,)ivi. rnnr-, on CVT 6' TYF. I- ------ 4"x V -- -- - UJ X F Li oFRMN G.>C L I Pr.. _. C� STAIR STRINGER. TE) 'o.c-MAS(. RS -TDF VIEW HAI,INRIL NOT SHDWI`4 FOR CLARITY. BOLT ,.— GrIJARDRAIL -' /""A V r*Irrr, vrrrr X I4Ir MIN. Foot / NG GIRDER . x co z 2'X411. PRESSURE 7REATE'D OR �RFDWOOD PLATE 4"X4„ POST —` 9-25-87 — ADEQUATE DIAGONAL BRAN NG. TYPICAL i',ES/1LAI rl,4l 97XPS 10, . COUNTY OF BUTTE —^DEPARTMENT OF PUBLIC :WORKS' 7 County Center Drive — Oroville, California 95965 Telephone: ' MOBILE HOME OR DELL ' I MAX. MR. FRM�,IG CLIP (ER.SIPE) 4.-A (D„ 4"x 4" POST 2ux I'Z11 # 2 DF ""- (2) 3/j3" 8;mF BOLTS i . x co z 2'X411. PRESSURE 7REATE'D OR �RFDWOOD PLATE 4"X4„ POST —` 9-25-87 — ADEQUATE DIAGONAL BRAN NG. TYPICAL i',ES/1LAI rl,4l 97XPS 10, . COUNTY OF BUTTE —^DEPARTMENT OF PUBLIC :WORKS' 7 County Center Drive — Oroville, California 95965 Telephone: ' 2J April 2, 1990 u eCounty. L A N D O F N A T U R A L W E A L T H A N D BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way P-7County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95926 0roville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/538-7281 Telephone: 916/872-6308 Henry Debos 8151 Bellhaven Street LaPalma, CA 90623 RE: Special Inspection - 2940 Oro Quincy Highway, Oroville, CA AP# 068-15-0-003 Dear Mr. Debos: On March 28, 1990, Mr. James Glander, Chief Building Inspector, and I made a special inspection of the above listed house following your request for an electrical permit. The house is a wood frame structure with aluminum siding and roof, with obvious electrical, plumbing, and structural deficiencies. The following corrections must be made prior to occupancy of the structure: 1. Verify the water supply is from a treated Oroville Wyandotte, Irrigation District source. 2. Verify condition and adequacy of the sewage disposal system. 3. Repair rear laundry room and bathroom floor, and in side room off kitchen. 4. Vent all plumbing fixtures. 5. Provide new toilet in bathroom. 6. Provide an approved heating facility'. 7. Rewire entire building to code, provide adequate receptacles. Replace all defective. or missing fixtures, eliminate open splices, and unprotected wiring. B. Provide properly constructed front and rear porches, and provide porch stairs with proper risers and runs. 9. Verify underfloor and under roof ventilation. Henry Debos April 2, 1990 Page 2 10. Provide proper installation for water heater with proper flue, clearance from combustibles, combustion air, temperature -pressure relief valve.and discharge line, and gas shut-o.ff. . 11. Complete interior repairs of walls and ceilings. 12. Remove ord damaged masonry chimney. 13. Make walls, windows and doors weathertight. 14. Provide nonabsorbent sink drainboards (no wood) in kitchen. 15. Remove junked cars and refuse from the property. The dwelling cannot be occupied until all corrective work is done, and has been inspected and approved by the Department of Public Works•. Submit two floor plans, apply for the required permits, and.pay the appropriate fees. Do not commence any repairs until permits are issued. Permits' may be obtained at 7 County Center Drive, Oroville; CA. ' If you have any questions concerning the above, please contact me at the above listed. location. Sincerely, Howard 3. Snyder, Director Division of Environmental Health HJS/mlf cc: Public•Works - Jim Glander 4 B, AN CE OF FEES SHEET DATE: V�� PERMIT #: - ISD, DD f ASSESSOR PARCEL #: OWNER' S NAME: Amount and Purpose): FEES ( G , BALANCE OF FEES: $ . ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): y SRA:. S COPY FEES (SI or more) $ DRAINAGE BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban _ El Medio North Chico Specific _ $ WATER TENDER FEES S -BATTALION # FEMA $ SMIP $ OTHER $ RECEIPT NUMBER(S) 5PNITY OF BUTTE ICI CEIPT 435685 -- - froReceivedThe Sum o Win,I For wit, ­V1 Receive Bv— CASH Tit ;1 CHECK I/By UAVGO BUSINESS FORMS • (530) 743-8511 Form 84702 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. BP042759 LICENSED CONTRACTORS 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 Issued Date: 09/20/2004 APN: 068-150-003-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 2940 ORO QUINCY HWY ORO License Class : License Number: Map Index: Date: Contractor: Description: DEMO FOR BP 04=1411 OWNER43UILDER DECLARATION I, hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROTBASEAN GHEORGHE & ELIZABETA 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 DBA GEORGE TOOL & DIE MACHINERY the Contractor's State License Law (Chapter 9 commencing with Section 2940 OROVILLE QUINCY HWY 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 OROVILLE, CA 95966 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).): CY I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROTBASEAN GHEORGHE & ELIZABETA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of ' proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 1 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 'Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 License#: 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:— arrier:Policy#: Policy #: Total Square Ft: 0 S. F. CL/fcertify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code' become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall U.Y '�.✓L forthwith comply with those provisions. G Date: ev L 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. l f `I �i� $ 65, (,(� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is her by issued under the appl' le provisions of the Bufle County Cada anrVor Resolutio s to work indicated a/bove f r whi h fees h ve been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �4 Date: Off (/fes By' Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the dA authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any i al form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon/the above mentioned property for inspection purposes. 1 ROP � /� S /�70 I� 'S/f - '�� °/. Signature: 9 Print Name: Date: Q-Cf�ner ❑ Contractor 0 • Agent for Owner ❑ Agent for Contractor NOTES RESIDENTIAL 068-150-003 03-2908 PERMIT NO. ROTBASEAN, GHEORGHE 2940 ORO QUINCY, OROVILLE GARAGE, REMODEL & ADD. o� _ �g(to� t - F r 5 �r i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER F ' :1 p� j iV • f JOB FINALED (Date) i Signature J=OK 0 = Not OK . = NotReadyable MISCELLANEOUS MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements ' Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch " 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 9. 4. Water; Location -Test -Easement Needed (Sketch) Date 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 1. 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or/ /" L "ft./ P LPG Date 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance 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 Date - Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements , 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water;. MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged " 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 +.Y +DECKS, MISCELLANEOUS Date COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric + 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5., Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters Cl Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN- SERVICES - BUILDING DIVISION 100% e -or w. -_:*7 County Center Drive - Oroville, California 95965_ - Telephone (530) 538-7541 f V (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-150-003 ZONING AR BUILDING PERMIT OWNE fflEOR'a & EuzAa w TELEPHONE 533-5827 SO. FT. OCC. BUILDING -VALUATION R owNE T2i OitO St UINCY FAY, OROVILI.E' 95966 11055 50 €3.9640-M 00 CONTRryAC7TyO4•R�VS�NAME TELEPHONE VYIL�T.L� CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 9 LENDER'S MAILING ADDRESS Fireplace A�� 1.500.00 9 Total Valuation $ 67.110.M ARCHITECT OR ENGINEER LICENSE NO. - Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 495.5% Plan Checking Fee $ 322.M BUILDING ADDRESS 2940 ORO UINCY ICY' OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 860.58 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap it 7.00 77 Solar or heat pump water heater 23.00 Water piping 15.00 5 SF 0 Duplex ❑ Mobilehome ❑ Other Each as water heater or vent 15.00 SPECIFY TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 15,00 New ❑ Addition M Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 15.00 Describe Work: ADD GARAGE, NEW LIVING AREA Mobile Home ISI GI W1 @20.00 AND REMODEL PERMIT FEE S 157.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 23,00 / } LICENSED CONTRACTOR'S DECLARATIONMain 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 Professi6ns Code, and my license is in full force and effect.t - License Class Lic. No. L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the following reason: L 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. Service 200A TO 1000A 46.00 . NEW CONST. ( DWELLING OCCUP. OR ADDNS. s ACC. BLOS. 3.5¢SO 53.73 NON-REOSID. MULT CIRCUITS C.OUTLET @7,50 POWER APPARATUS b SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES 20 Q 1.00 BAL @ .50 Ex. Occup. O==.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ❑ 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 PERMIT FEE = Q�_ 7Z MECHANICAL PERMIT Filing Fee 20.00 WORKERS' COMPENSATION DECLARATION Heating ?r,- C-! 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. Cooling Hood 6.50 v. Lbc Ventilation 2 4.5C 9. Cil ❑ 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 PERMIT FEE $ 80.50 Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall Energy Inspection Fee $ • 46.00 0114 CONST. TYPE AVTOTAL FEE $ •'1 ,. HpZV�Df/Ea IMP V V FLOOD cOF ✓ pgRCPARCEL1140 PO HU ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. forthwith comply with those provisions. X Awl Date -A t ,� t f� iI, I � 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. . w A y �./lJ/v`� �..r, B Date PERMIT EXPIRES ON ReceiptNo.�ia�iG / y.'I S: De /Si1V(4I_Sf1A►/�. %� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date It 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.netWds PERMIT NO. BP042759 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: 09/20/2004 APN: 068-150-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2940 ORO QUINCY HWY ORO Date: Contractor: Map Index: Description: DEMO FOR BP 04-1411 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROTBASEAN GHEORGHE & ELIZABETA 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 DBA GEORGE TOOL & DIE MACHINERY the Contractor's State License Law (Chapter 9 commencing with Section 2940 OROVILLE QUINCY HWY 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 OROVILLE, CA 95966 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).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROTBASEAN GHEORGHE & ELIZABETH pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, ,am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: D 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: ®/icertify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code' become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — � SOC Date: O 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 sued under the appl le provisions of the Butte County Code anrVor This permit is h�NWWW4 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.) Resolutions to indicated above f r whi h fees h ve been paid. By: Date: Name: PERMIT EXPIRES ON: na Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 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 d authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any i at form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the aboovve' property for inspection purposes. .mentioned Print Name: V `�'' �s��� 7: '�= / / Signature: Date: Q-07 ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor v a �13'j'rF BUTTE COUNTY PERMIT 0 0 DEPARTMENT OF DEVELOPMENT SERVICES N 0 o BUILDING PERMIT.APPLICATION %.2r 0 0 AND SUBMITTAL REQUIREMENTS o - 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BI' o OFFICE #: (530) 538-7541 BIN # c0U N� A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT. CLEARLY" OWNER Last Name irst Name Address -'No n�o c oviln i<14X1 City !� State c� Phone 53n 533-!5-P 7 - Fax 530 93-3_, d°2 7 E -mai APPLICANT NAME CONTRACTOR Name Address 'X) City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address SRA City Fax State Zap Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State --7—Trp SRA Phone Fax E-mail APPLICANT SIGNATURE r For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes No Occ. I Type Const Subdivision Name Map Book Page 7-1-1 Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# /,i �0 Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ 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. ��v Received by. r V " Amount: LS S. Bldg SRA Receipt M Sheriff qf,? SMTP Date: Other G U Total 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 LEG/BLEAND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. CT 3: Califomia Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS merunas can omy 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 :,heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION (AFORMBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Demolition Permits Asbestos Notification Statement:" .,_ Date �m A �i AP# D6�� 00 3 , Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form.. "19827.5. A demoliton.permit shall not be issued by any city.,"county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon.the receipt ,-from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the.applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may 'require the appliant-to make the declaration in writing, or it may incorporate the applicant's response -on the demolition permit appli- cation." r Attached is a copy of my written asbestos notification to the United States f v , 'Environmental Protection Agency .for the,demolition project located -at Signature of Applicant 6R , s V I hereby declare that a written asbestos.notification to the United.States Environmental Protection Agency is not applicable to this Aemoliti.on project.. Si at e of Applicant. 2/19/91 9/21/04 : • r BP# 03-2908 for 1055 sq. ft. addition of R space to existing 24 x 24, 480 sq ft of U. BP# 04-1411 to replace foundation under the existing 24 x 24 portion. Both of these permits have been combined into BP# 04-1411, which is now a 1631 sq. ft. NSF, with attached garage. See fee calculation below. #03-2908 no longer used. Single sheet for replace foundation, BP # 04-1411 no longer used, but still in file. MMMMMMMR. M- /- i ,r o f ; e SciUl District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdictw` n: city �Coun* Property Location/Address 2 9410 Subdivision Lot No. Residential Development 0 Q F 7, Q Sq. Footage J �� No of Living Mobile Home drdon/ 'Supplemental to (Group R) Units Installation Conversion Permit # i *(No foundation Inspection) ........................................................... . ................................... _.... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage / New Addition (Including Exterior 7��1Roofed Areas) ry / /o7 ~ Building Department Representative Dater / District Identification No. Q q 3 Scho0l.Disfrict certifies that r (Applicant) ` ZQ � � !7 ._.e �aJ l►.�� tr�� N (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing e,-, to square feet. 2926 $ FULL wimGAnoN $ School District Representative Date Paid by Check # / Remarks: o10•--30!0s� V Notla: You may protest the Imposhlon of the Mss 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 wlll'prohibk you from challenging the Imposition of the fess In any court action. N, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertlNeatlon Form, the School Diapid Is rrotlfNd by the applicable Local Planning Agency that this project Is being revlewed under the CalNomla Environments! Quality Act (CECA) this proiect may be subJeet to additional school fees to fully Milagale.No Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENTS IC S - S ILDING DIVISION 7 County Center Drive s Oroville, California 95965 a 0) 538-7546 PER NO. v 96) APPLICATIONAND 156 - �vb ZONINGAZ- BUILDING PERMIT E SSOR PARCEL NUMBER G ` 1 _77- o C T E 15&4Sp, FT, OCC. BUILDING VALUATION r� %%i � � */,,O - s I�1gIUNG ADC' _S.S • .. �• del _ / t /�.� /1 �1��1 I n .. 1 1 �/ /� /1 CYl _ > Le, CONTRACTORS MAILING ADDRESS PERMIT FEE I -� ELECTRICAL PERMIT CONSTRUCTION LENDER Main Service eoov DA LEftss zoOA OA SS _ 23.00 Main Service Fireplace Z�U NEW -CONST. OR ADDNS. LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ P ARCHTECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ SURDINGADDRESSO v Energy Plan Checking Fee $ aaj' CJ/1-/ $ V PERMIT FEE $ LOT NO. SUBDNISIDNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee, 20.00 Each Trap 7.00 USEOFSTRUCTURE Z'' C Solar or heat pump water heater 23.00 Water piping 15.00 SF Duplex ❑ Mobilehome ❑ Other sPEcrFr Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.001tNew ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ T Building sewer 15.00 _ _ / Mobile Home S G W @20.00 Describe Work: Fl�e7z ,_>O j b825 CG .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ 5 ) � DATE RECEIVED � I _a,-� RECEIPT # EX. OCCU . OU LEr OR FDRURES PERMIT FEE I -� ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov DA LEftss zoOA OA SS _ 23.00 Main Service 2ooA To IOooA 46.00 NEW -CONST. OR ADDNS. DWELLING OCCUP. & ACC. BLDS. 3.50F°; EX. OCCU . OU LEr OR FDRURES EAL @ .50 FDCEEx. Occup.,mt� ESID 1 Soo - Temporary Service 23.00 Mobile Home Facilities 20.00 Misc_ Wirine 23.00 I PERMIT FEE $ 7`0 * / 0 MECHANICAL PERMIT Filing Fee 1 20.00 Hood L 6.50(k 11 .. ... .. 14 Mobile Home Installation Fee $ Energy Inspection Fee $ yeo�—� n FII, , I `O TiffTOT'4L FEE $ I ZkJ_ S - I o rjP I ELM Q h"i ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 County Center Drive • Oroville, Cp lifornia 95965 • Telephone (530) 538-754103_, 7eff (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-150-003 ZONING AR BUILDING PERMIT OWNER GHEORGHE & ELIZABETH ROTPASEAN TELEPHONE 533-5827 SO. FT. OCC. BUILDING VALUATION R 96,970-00 OWN 5 IUNG ADDRESS �L9+1055 0 ORO QUINCY KW, OROVILLE 95966 480 U R,640-00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace 11,411 1_;,500.00 LENDER'S MAILING ADDRESS Total Valuation $ 67-110-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 495-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2940 ORO UINCY WY, OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 860- 58 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 111 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 19-00 Each as water heater or vent 15.00 15 o TYPE OF WORK New ❑ Addition IR Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD GARAGE, NEW LIVING AREA AND REMODEL Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home ISIGI WF- @20.00 PERMIT FEE $ 157,0 ELECTRICAL PERMIT Fling Fee 20.00 500VOR LESS Main Service zo.A OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (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: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BODS. SO 3.5QFT. NEW R°ESID MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FocruREs 20 � ' •0° BAS @ ,50 Ex. Occup. ouTELErs ASIDw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this 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.) 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 fort ith com lywith those provisions. j,�,��n X _ Date SeQI CY' 1► ICr01� Signature o pplicant -Owner ❑Contractor 13 Agent An OSHA p mitis required for excavations over 60" deep and demolition or construction of structures over 3 stories in heig . MECHANICAL PERMIT Fling Fee 20.00 Heating 20 00 Cooling 25,00 Hood 6.50 6.50 Ventilation 2 4.50 9.00 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. rr CONST.YOTAL FEE $ 1240. 81 HAz. D. PE IMP ,Y/ FLOOD cDP_ PARCEL Y/ PD H Iss This permit is hereby issued under f the tte County ode and/or i c ed for iCh fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. z n„ 0 ate K/ �% 0 e Receipt No. 10�f / WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK-INSP0013TOR GOLD ROD-APPLICA .. ,,yy � .,�,.., .� .,tip .�, , T,�.R �.r "iS' ..1a„ .• .} ..,,..�� .�..„ K .. �_..-� .r«. .T;a�. _.. A� COUNTY QFa BUTTEZEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION X17 County Center Drive, Orov�i ;el , CA '95965 Phone (530)5,38-7541 Fax (530)538-2140 PERMIT• APPLICATION DATA`SHEET OWNER: ace� 1/-N ASSESSOR PARCEL NUMBER V Proposed Building Use:�4� t b l Counter Technician: ►v� Date: Ilems required in order to apply fora permit. All boxes MUST be checked OR marked NA in oraer8 apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. /7 4. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal 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. P__ 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. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings ......................... i ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... - ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other __''4R bee items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ._ s as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 1. Statement of Intent for Non -heated and A/C Buildings ............................ I................ ,, 18. Sanitation and site plan approval from the Environmental Health Department in /GY / 6 � p-6 3 19. City of Chico Plumbing permit............................�ai�. ................�....�.�..�........ . -26 Californ!a` a artment of Forest Ian approval Sent �03..... �� P Forestry P PP •• ❑ 21. Planning approval for (A) Use: OK (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 0 23. NPDES Form .......................: ............................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. 1� ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier nd Policy Number ............................................. 28. Owner -Builder Verification (EaZiiven to owner, ❑ Mailed to owner) ..................... i ❑ 29. Letter of Signature authorization.................................................................... " ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ,f . ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... . ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. • Other: When issued Telephone 15 5 • and hold for pickup. I have been informed,of the above items and requirements for obtaining a building permit. Applicant:Date: CI_ 1. Index permit application 1wil r -above items numbered: ! Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data b ❑mail, ❑counter, by Date: Contractor, designer -owner, was advised of the above data by phone, ❑ mail, ❑ counter y Date: Plans reviewed by: 1 Date: Plans approved by: 11z 4 Date: Structural reviewed by: Date: Structural approved by:Date: Note transfer by: fRc Date: 40 - 2f _03 AW Yellow: Building Division r. 4•� 0 3 -Z9aS TO: ' Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Plan Approved for: Sewage Disposal Clearance for dwelling. Other AS Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Location Water Su E.H2OE ONLY Mat Pian dEtech6d {1695 manthe !_ Sam t6 8.0,1-1 ' AP# lic Private UVeli"'� Date r OWNER tOUN`I'Y OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE BUILDING USE BUILDING PERMIT FEES Balance Due ....................... $ o Additional Fees Due ................. $ Additional Fees Due .......... :....... $ evised Plan Checking Fee ............. ,$ CHOOL DISTRICT FEES ko'� (paid at District Office) (Available after Plan Check) 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 ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES - (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) f��7. 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 A.P. # DATE RECEIPT # DATE REC. _> I ' � / 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. , 019003M 1 DATE Pursuant to GovernmenfCode Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00){ (11 O.B.- 1 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. 7 t t C l I personally plan to provide the major labor and materials for construction of the proposed 0property improvement: YES [ NO 0;. IHAVE13 HAVE NOT P signed an application forTa building permit for the proposed work- . I have contracted with the following person (firm) to provide the proposed construction: AME: ADDRESS: may; , PHONE: CONTRACTOR'S. LICENSE NO. I plan to provide portions of this work, but ' I have hired the following person to coordinate, pervise, and provide the major work: • ` AME: ADDRESS: - CITY. PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: AME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER = DATE NOTE: This Owner -Builder Verificatiohls 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 budding 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 pemih 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 wont (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 inchiding state and federal income tax withholding, federal social security taxes, wodcers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worimes compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenne 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. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Info>mation 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 maths. The building permit will not be issued until the verification is returned ff ,C. Vi ira, C.B.O. Building Inspection . NOTE: This Owner-BuilderWommfion is required by Section 19830 of the California Health and Safety Code BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM One ford per Building) 105. School District V'� �i `X\� -� Building Department No. A.P. Number U��' 66'007�7 Jurisdiction: City IjCOunty Property Owner C �t^ t yt Property Location/Address T V �fJ ^� W Subdivision Lot No. ........ ................_.................................. :...................................... Residential Development Q Q Sq. Footage No of Living Mobile Home itio 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ..................................................................................................... i Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areds) Building Department Representati Date / Distric t Identification No. {e S 0-1 c. � w J . 1 k.P_ G L -ey,, School District certifies that (Applicant) d (Street Address) I (Phone Number) S a (. "o (City) (State) (Zip Code) 1� has complied with the requirements of Resolution No. O t_p Z by payment of $ representing 1. S square feet. JAB 2926 $ FULL MRIGATION $ School District Representative Date Paid by Check # Remarks: Q (a }} 1 S 7 A Notke: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, In compliance with Govemmsnt Cods Section 66020(a), within 90 days from the date fess are paid. Failure to subm@ a timely written protest wlll'prohlblt you from challenging the Imposition of the fess In any court action K, subssgwnt to the School District Reprssentatlw signing this Butte County Schools Impact Fes Certification Form, the School District Is rro"I'l by the applicable Local Planning Agency that this protect Is being reviewed under the Caiifomla Envlronmerdai Quailty, Act (CEQA). t his proJsat may be subject to addlllonal school fees to fully ~*.Ito Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.)b (10/03)dmm BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041411 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/21/2004 APN: 068.150-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2940 ORO QUINCY HWY ORO Date: Contractor. Map Index: Description: NSF(1631)GAR(480)COV(30) OWNER•BUILDERDECLARATION 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: ROTBASEAN GHEORGHE Sr ELIZABETH 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 DBA GEORGE TOOL 8r DIE MACHINERY 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 2940 OROVILLE QUINCY HWY she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966 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).): © 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROTBASEAN GHEORGHE & ELIZABETH owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for DBA GEORGE TOOL &DIE MACHINERY sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 2940 OROVILLE QUINCY HWY proving that he or she did not build or improve for the purpose of OROVILLE, CA 95966 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 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 License #• 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 2141 S. F. Policy #: 021 1 certify that in the performance of the work for which this permit is Valuation: $118,015.00 issued. I shall not employ any person in any manner so as to Census Code: 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. -, f " 9,v C- Date: I / Applicant: L 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. s's e�-2 ZoC) 7 4. CONSTRUCTION LENDING AGENCY This permits hereby issued under the plicable provisions of the Butte County Code anrtfor I hereby affirm that there is a construction lending agency for the Resol tions to o work indicated ab a or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) —4,5)e Name: By: Date: ' ds PERMIT EXPIRES ON:— Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duI uthorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offi i I form or document of Butte County. thereby authorize repr{esem(/ tativeess ofButte County upon/the above mentioneyd- property for inspection purposes. �to/enter Print Name: V ' ��V, . 7-J/.` �`� �Y c� 1 S i t (!� Signature: Date: downer Owner ❑ Contractor 13 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DqARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041411 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/21/2004 APN: 068-150-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2940 ORO QUINCY HWY ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: REPLACE FND UNDER EX DWELLING(96) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROTBASEAN GHEORGHE & ELIZABETA 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 State License Law (Chapter 9 commencing with Section DBA GEORGE TOOL & DIE MACHINERY 7000) of Division 3 of the Business and Professions Code) or that he or 2940 OROVILLE QUINCY HWY 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 OROVILLE, CA 95966 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ROTBASEAN GHEORGHE & ELIZABETA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one DBA GEORGE TOOL & DIE MACHINERY year of completion, the owner -builder will have the burden of 2940 OROVILLE QUINCY HWY proving that he or she did not build or improve for the purpose of sale.). OROVILLE, CA 95966 O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed + / pursuant to the Contractors' State License Law.). \ Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: LL%/— Owner: 4F�• C� /r'('/ r '^- � �� WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consento 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 License #: is issued. to - El I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: En Carrier: I `� Total Square Ft: 0 S. F. Policy #: 14 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: " Applicant: WARNING: Failure to secure workers' compensation coverage is and shall subject an employer to criminal penalties and one -2unlawful, hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cody enrVnr I hereby affirm that there is a construction lending agency for the Res oluf s t o .ori indica Q above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 0 Name: By: Date: PERMIT EXPIRES ON: Date Address: Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represent tives of Butte County to enter upon the above mentioned property for inspection pu oses. Print Name: RC�� WVVVV , r'G lel � t- T a ° Signature: Date: 61 1,0q -Ii�Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 04, a. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name q— - Addrq s . Pi C c. City ©i ll St a e Zip Snj Phone s-,33.-3._ ��� Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class A APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 044 0 Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPoq BIN # LOCATION C Property Address 044 0 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Desai tion r Scope of W rk: Sq. Footage ❑ Structure Built wl out 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: *V11 Amount: Bldg SRA Receipt #: 4&cO�- C) Sheriff Date:5-// 710 SMIP Total REV 4-30-04 SUBMITTAL REQUIREMENTS iThe following drawings and specifications must be submitted to the Buildieg DiWsion in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete'sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: '—� ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. , ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site -plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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 b the he en neer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 ��-^i.r'.ti- .�. r', 'sr, �^+e.-,- •R -.ti .,,.t _+.'�y,;s.,,.�., ty...��. ,�., -.: s.,r...,,4r�;'�{.`::'r,@`^.s. ,..w'-•. •,�,,,,` :r.: Vic`-'�'a..,"'�,+5`�*'" '1k., .,-r .� •� a...;,.!,�. 1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -A2 IN1G-4DUSION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER 0�18- 1 SO - Q ZS Proposed Building Use: ` Counter Technician.o0m Date: ,�5[ V Items required in order to a ply for a per ' . All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . Jr 2. Complete plan�3 r 4 sets, signed by the preparer of the plans. 3. Engineered 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! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form , 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑t . 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ....................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone Q✓7 and hold for pickup. I have been infor d of the above items and requirements for obtaining a building permit. Applicant: 01404+ Date: ©S' 1. Index permit lication f r the above items numbered: Plan Check Letter 2. Additional items require Contractor, designer, ow er, 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: ate Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.- I OV`J WR -]BUILDER VERIFICATION Attention Property Owner: f 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 tai processing and issuing your building permit. No building permit, will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed roperty improvement YES IR NO ❑ 2 I HAVE V HAVE NOT ❑ signed an application for a building"permit for the proposed work. 3. I have contracted with the follo��g person (firm) to provide the proposed construction: NAME: ADDRESS. dA/X 0 6r%'/� �u r` : Vxzo A PHONE: CONTRACTOR' LICENSE NO. 4. I plan to provide portions of this work, but I- have hired the following person to coordinate, supervise; and provide the major work - NAME: . ADDRESS: ' ' may: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (lured) the following persons to provide 3 the work indicated: NAME ADDRESS PHONE TYPE OF WORK . 4 SIGNED: PROPERTYOWNER: , SSE DATE: ®0 ` NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code- Ais verification must be completed and returned to our office before we are permitted to issue thepermit. OVER' ' 11....:} O.L.- OWNER 13UILDER INFORMATION Dear Property Owner. An application for a budding 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 -budder" you are the responsible party ofrecord on such a pe, Building permits are not required to be signed by property owners unless they are personally performing thea 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 subconn`•act, you should be aware of the following information for your benefit and protection: P Ifyou employ or otherwise engage any Persons other than your immediate family, and the work (Including materials and other costs) is $300 or more for the entire project, and such persons are not'licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, You must register with the State and Federal Govemmeiits a`s an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not cary out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific mfoiation about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. Ifthe structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A ,frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneous$' 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 102014 Street, Sacramento, CA. 95814. Please complete the "Owner Budder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is returned. Ir ly, 1 C. Vi iia, C.B.O. r, Building Inspection \ NOTE; YAIS Owner-Builderinfornratfon is regrdred by Section 19830 ofthe C-gort:fa Health and Safety Code OVER 0 COUNTY OF BUTTE - DEPARTMEN j OF VELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-754ERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068--15(}-003 z ILDING PERMIT OWNER G M� RUTBASM 1�vH�o TMI177 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2940 ORO QMCY Tx Y OROV T�'� 95966 �f 4iJll�Jl,x jjiNl OROV=, CONTRACTOR'S NAME G1� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE 1V UNKNOWN Total Valuation 4$ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NM 1VVi LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2940 ORO QIJINGy WY PERMIT FEE $ PERMIT OROV=, 95966 PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCELMAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DET SHOP SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )C] Installation ❑ Other O Describe Work: E FC'TR E SMVICE FOR SUP PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS 1 2GOA OR LESS -00 23.00 2 Main Service ( 200A To IOOOA 1 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. I SQ. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS 1 @7.50 ( POWER APPARATUS 1 8 SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES 120 @ 1.00 BAL. SO Ex. Occup.FOXED APPLNS. OR (O UTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j4 mems, costs, and expenses which may in any way accrue against said County in c sequence of the granting of this permit. Xly Date �^ Sign t e odic nt Owner ❑ Contractor ❑ Agent An An OSHA ermit is required for excavations over 5"0" deep and demolition or construe n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ- D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte,County Code and/or Resolutions indicated 969 r which fees he a been i B PERMIT -EX PIRE9''�O.N \,�_ provisions to do work paid. Receipt No. 167604 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 19 C:OUNI Y OF BUTTE Department of Develgpment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until .this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,. supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some.of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: x Property Owner Social Securit,' Numb � x Date A /�I , ZU . l - 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. COUNTY OF BUTTE - DEPARTMERZ OF.rEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT L — _ O� (0 0OWNS ZONL' /V C BUILDING PERMIT 7 C ©!� Q ��� TELEPH°f'IE �/ n '�7� /9/Y SQ, FT. OCC. BUILDING VALUATION OWNED O ADDR ©r T C/ CON TOR'S NAME �/'• Pt C- 1 TELEPHONE ' _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR C ON LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT 911 ENGINEER A J0 n ucENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Energy g Fee $ Penalty $ BUILDING ArFq ,J "7` w PERMIT FEE $ If PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 fro Vi Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTUR ^ 0/1 SF ❑ Duplex ❑ Mobilehome O Other 16© SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ElUtilities Installation ❑ Other ❑ Describe Work: & C I^ t�C r t/ , C_�'' PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 6001 OR LESS 200A OR LESS ) 23.00 a r Main Service 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. A ACC. BLOS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWINGLE OUTLET CER APPARATUS 1 8 SIR. / Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 RAL. .50 Ex. Occup./ FIXED API WS. OR 1 OUTLETS HRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of -California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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, gment' costs, and expenses which may in any way accrue against said County in nsequence of the granting of this permit. 1-1 X Date Sig re of A licant - Owner O Contractor O Agent An OSHA rmit is required for excavations over 5"0" deep and demolition or constructio of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Co y Code and/or Resolutions to do work indicated abov f which fees have been paid. By Date PERM PIRES O Motel �--7 // Receipt No. �(�% / �0 0 WMITE-D.O.S.-B.D. CANARY - ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT �iuite L'ounty BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE• CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Gheorghe Rotbaseah February 22, 1995 2940 Oro -Quincy Hwy Oroville, CA 95966 RE: Building Permit # 93 -3689 Expiration Date: 03/07/95 A.P.: # 068-150-003 4 With reference to the above subject, our records indicate that ,your building permit expires on the above date and your permit falls into 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. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic,el C.f Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office --1469-Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 WF v C:2 6783-76B PERMIT,'. -NO:' 1 1 # PERMIT EXPIRES OWNER Raymond Terrell CONTR. owner LOCATION (A,.P. 34-19=3 2940 ;Quincy Rd., , °'0rov111!a. . u U: r I I /� V Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Tempa Gas Serv. i Called PG&E a JOB 9 --- l FINALED e i (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD i BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor I Main Bldg. Restroom Finish 2hd Floor Footings Windows. 3rd Floor Stemwall Siding To out Slab. Roof Sheathing,Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground k Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS s i (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEP`ARTNIENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 .. Telephone: 534-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. X—,—��d,�l /1�!-'����/1 Date 6/1 Signature of Poermitee or Agent / Receipt No. S 6 13-4p- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF AUeLIC WORKS BY Date /-7-- f lc ing permit expires Date BUILDING Owner SO. FT. 9CC., BUILDING VALUATION Mailing Address Fireplace Contractor S Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ^ �I P. Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s W. S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Par Decl ion parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg. Plans Reck"____ -r�pprov-I Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S OR L Main service i°o°o AMP ORSLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family Duplex ❑. Mobil Home ❑ Others ❑ Main service OVER 6.0V 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea - NEW CONSTR. POWER APPARATUS & NON•RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @ga 109 Ex. Occu FIXED APPLNS. OR P. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ioI am exempt from the Contractors License Laws of the State of California. _4 Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. placed on file with the County of Butte a certificate of El 'workmen's Workmen's Compensation Insurance. 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'Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. X—,—��d,�l /1�!-'����/1 Date 6/1 Signature of Poermitee or Agent / Receipt No. S 6 13-4p- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF AUeLIC WORKS BY Date /-7-- f lc ing permit expires Date i PRE -INSPECTION OWNER: SOS _ DATE Z/ l LOCATION: z� -(Y ; A . P . CONTRACTOR: �%Z�r//�'� ZONING A�_ PRE -INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: E NONE i AS FOLLOWS: 451_11ECUS /4: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE:. , r TENNANT: OCCUPIED HAS ELECTRIC W2 HAS GAS HAS SANITATION FACILITIES [:j HEATED -COOLED // PERSON CONTACTED OTHER COMMENTS:ell GC7 / 1 � � 1, �/'Yl�l. • 'f`' (•DOTS �'!�' ori � .S'�l �9� �"J/ i,�`is'a rf�� �1 ; v c�r1e, - P�-.�nir !v f/'•C.l � :/.yt4 94+=� . ��✓%O,S'eC� a sem' ��c�„j� `r�G- C � v c` �.�' � h -s i� -�- i/ �Stcal� �-�-.. 1 ACTION RECOMMENDED: D ISSUE __ [% HOLD DATE'471fir% i� . V/'1~ ASSESSOR PARCEL NUMBER 68-15-03 OWNER HenryDebos OWNER'S MAILING ADDRESS COUNTY OF BUTTE - DEPART E p`,,T OF PUBLIC WORKS PERMIT"NO. 7 County Center Drive - Oroyille, Californi 9 `�65 - Telephone: 916/538-7541 APPLICATION AN ., 'ERMIT ZONING ARRC BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION 71 _995_8274 8151 Bellhaven CONTRACTOR'S NAME St. La Palma CA 90623 ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business NEW CONST,ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea owner (POWER APPARATUS tr1 SINGLE OUTLET CIR. TELEPHONE EX. Occup(OUTLETS OR FIXTURES 200SOC e ALa 30 I, as the owner, or my employees with wages as their sole compen- CONTRACTOR'S MAILING ADDRESS sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Temporary service 10.00 CONSTRUCTION LENDER UNKNOWN Fireplace Misc. Wiring 15.00 Total Valuation $ for this reason LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER Filing Fee $ 10.00 Permit Fee $ MECHANICAL PERMIT FiIingFee 10.00 ❑ I have placed on file with the County of Butte Building Department LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ BUILDING ADDRESS Hood 3.00 Penalty $ 2940 Oro—Quincy Rd. Permit fee $ Contractor PLUMBING PERMIT Filing Fee 10.00 Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte roville Each Trap 2 Solar or heat pump water heater 20.00 I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, AP Water piping 5.00 USE OF STRUCTURE SFLn Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: ra_o,i ra c /-C, nacr carni rim Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6, 00 AMP LESSOR 10.00 Ma CONTRACTORS LICENSE LAW i n service EA. ADD'L 100 AMP 2.50 I declare under penalty of perjury (check one): NEW CONST. DWELLING OCCUP. tr\z�ZQs ft OR ADDNS. All. BLOGS. / ' q ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business NEW CONST,ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea and Professions Code and my license is in full force and effect. (POWER APPARATUS tr1 SINGLE OUTLET CIR. License No. Classification EX. Occup(OUTLETS OR FIXTURES 200SOC e ALa 30 I, as the owner, or my employees with wages as their sole compen- Ex. Occup. FIXED S IPRESID IRE A.) 2.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Temporary service 10.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code Misc. Wiring 15.00 PRE — iNSP for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. MECHANICAL PERMIT FiIingFee 10.00 ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling �of I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Hood 3.00 Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with Permit Fee such provisions or this permit shall be deemed revoked. $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Mobile Home Installation Fee $ Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte Energy Inspection Fee $ to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, TOTAL FEE $ 50.00 and expenses which may in any way accrue against SV County in nsequence of the granting of this permit. HAZ CUA PARK SCHL sLo PAR Po Ho ISSUE X Date C7 This permit is nereby issued under the applicable provi- Signature of Applica r — Owner Controcra. A Agent ❑ g ❑ sions of the Butte County Code and/or resolutions to do work indicated above for An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. 593 1 By WHITE-O.P.W,. YELLOW ASSt3DOR. PINK-INSPtCTOR. GOLD E IROO-APPLICANT Date PERMIT EXPIRES Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 851-2751 7 County Center Drive, Oroville•— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE _w O N PERMI ONO.aj A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office' when correction of work is completed. If you have any question pertaining to this- matter, or need additional explanation, please contact this office immediately. Inspect Date 1 s; 'ah rF 4y 4!� ^ 4 Inspect Date MAY 29, 1990 TO WHOM IT MAY CONCERN: I, HENRY DEBOS, OWNER OF THE PROPERTY LOCATED AT 2950 ORO QUINCY HWY, OROVILLE, CA., HEREBY GRANT JOHN POOLE TO BE MY REPRESENTATIVE TO PULL ANY PERMIT REQUIRED BY THE COUNTY OF BUTTE. HENRY DEBOS p 548-81B I —'PERMIT NO. replaces #6783 76� PERMIT EXPIRES— OWNER XPIRES OWNER Raymond Terrell CONTR. owner ASSESSOR PARCEL 34-19-3 LOCATION. 2940 Quincy Rd . , Oroville t , i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature r = OK = Not OK = Not Applicable MOBILEHOMES g MISCELLANEOUS = Not Ready r Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECK COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 9,' o Zonirig Requirements—Setbacks—Easements _ . Fo gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete Decks; Girders and/ Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)ood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete. wn.; columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG s;W,ndows—Doors 7. Utility Clearance Card -BI Date Card -81 Date Card -BI ed;p Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. 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 B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Si_ngle'and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' 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 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. 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 8. D.W.V.: Fall -Fittings -Test -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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 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 p'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. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps ' 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 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 ED No 75. Followinginstld.: Drive Yes No; Walks ❑ ❑ E3 Yes ❑ No; Planters El Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ _ 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY O`F BUTTE - DEPARTMENT OF PUBLIC WORKS PE T NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND KRMIT ASS ESSp PARC L NUMBER ZONING BUILDING PERMIT Ow TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN 'S MANG A RESS - CONTRAC TORSNAM TELEPHONE eA- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESSOV ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit fee $ 10.00 $ D $ $ $ ` BUILDING ADDRESS � a9 4�DEach PLUMBING PERMIT Filing Fee 10.00 Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets / USE OF STRUCTURE SF [e Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition 9j'_"'RemodeI Q Utilities ❑ Installation❑ Other ❑ Descr' a work:ELECTRICAL �� Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 j Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.. ' OR ADDNS. ACC..BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification FV_] 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw coNsrR -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEw CONSTR (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 00 IXED 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 MECHANICAL PERMIT FiIingFee 10.00 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 of 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 to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XOtvi( ,vel .J•R:1/� Date Signature o/Applicant — Owner l4 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-' ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ISSUE 'This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D! C O OF PUBLIC BY 0, (PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date / -- Receipt No. 47726 r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT set of plans and specifications VYU6T be 'tept on the job at all t's:''es and ifi is unlawful to changes or altor3ti^ns an same without inal: any th. pepartmcnt of Public writ 'an parmisson fr=m Wo ks, County of Butte. e � k�• �ccro� rho s e ��o 'c� 4 '^t'!l• 13�� L5� Cji "u I E: AlI Mc, forials & 1,�Jorl:. Accordance vrtll Re „ , ;��q mansl�ip Shall Ce in Of a qualifyc"`�":'eJ Gcod Practices and r%rescriz' pj for f;ye Si)aci3-ed use in the Uniform &uildi g, Plu,nbin Me National Electrical Code. Mechanical Codes and 0 T4 "L K Co -FZ- e, 2.t.. (� S C0 0/o� f�IVOV ENj O 7 'yl //v tX_ A- i / -'t CD -a r •4 tX_ A- i / -'t CD -a r �r } I c O C7n 0 o I� � C 6 M � m Z \� 0 z - - __ - -- to OD fl `�`.(S�•� `� ,� •J may'•," � � �•.��7 � '! �� wT 1 ' � '7• L gtJ rJi4 : e.Lr.�7��i5 I 1 cri J.-6 .695 o 1.6 60 10 a Ih ,S in � hA a s�iy ;�c�i(�.b V W Yr ,i ''•.�ti N N 0c \ M 1 ir 10 Z o. O O L� ! Z �, ° '`.; f?`•- � Y 77 O �,�,, m y W) ! 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ALL HEADERS'- 4XI Z DFSB' ie" To Vi� Dwo, 0 tF-� -fo- joppmv 3. ALL NAILING TO COMPLY WITH U.B.C. c.'TABLE'"23 ba = 4. PROVIDE ATTIC VENTILATION - TO 1 /160 OF PLAN AREA. o S. EDGE NAIL ALL PLYWD. TO EAVE BtKING. J6.PLYWD.'SHEETING wi lhw APA RATED OSB. <1 ALL EXPOSED PLYWD - CCX PTS. • %.A NAILING - 8d VCS. 6"ccEDGE1 2mcc 7. PROVIDE VAPOR BARIOR OVER EXTERIOR STUDS Au. N� � � ���,-� � ��� ��E ' I � { � �' AND LATH FOR STUCCO FINISH. FOU ON [COTES: 0 m Ti��_> 7-AVA 0 r5�� 0 1. ALL NGS SHALL BE INTO UNDISTURBED SOIL T1 dq�5 !M Co"M -rf-04 2. CONCR SHALL BE MIN. 2500 PSI. 9 -n rJ I s )A AS R.F+j 0 1:2 -el Vsl 0 Iri r_ 00dTl A10 tle<sIC 3. REBAR SHALL BE GRADE 40 AND LAPS SHALL BE 40X BAR tA DIAMITERMIN. U.N.O. 4i � I ,� �. TYPICAL X l(r ANCHOR BOLTS (AB) LOCATED 6 oc AND WITHIN 1Z'FROM EACH CORNER AND SILL SPLICE. A13 TO HAVE 8" EMBED. WASHEFjST08EZ727m6". S. ALL StLLS SHAM BE 2X RWD. OR PIUS HIM FIR 4, St. o U I i ai 7. MAINTAIN EARTH TO SILL CLEARANCE OF 6" MIN. QL FOR STUPCO, PROVIDE WEEP SCREEN TYPICAL -z4 LATERIAL BRACING:: )f- CONVINTIdNAL BRACING NOTED ON ORIGINAL PLAN, PAGEONE. SEE NOTES. -f o' _rTf vp"". Rsrh m�1���4�l�ani� ���IDa � t Ft5I �� j /77 Ni Al, Pe?— 5-4 edjm. -Z BUTT COUNTY BUILDING DIVISION APPROVED %J /y r TI.NALLIELINE - 800-262-1300. ORDER 0079504-08 coo DRAWL 7 --CHECKED DATE SCALE JOB NO. SHEET t OF SHEETS rT� WE Ii.H. Iltiii f)\ y Plot Plan AttarPud CouwTY or "no r � Floor Plan AtL:rhrd BIIILD'.�!!„. ``w�'`� 'Sent to TO: Building Department FROM: Environmental Health r SUBJECT: Sanitation Clearance 12 Owner Location AP# Plan Approved for: Sewage Disposal Water jPpply: Public Private Well Clearance for iloi=Other H d final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/92 A7 7 _ r r� 1;11 opoDings, gs, JEN Ord ol 41 I w _ rr r' r� 1;11 opoDings, gs, JEN Ord ol 41 I w _