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Home My WebLink About068-210-107068-21-0-107 93-2146 B,E LOYD, HOWARD 20 BUEHLER, AVE, OROVILLE CONTR: JOHNNY SMITH ELEC & REMODEL CLOSET/SF 068-21-0-107 93-2411,B,P HOWARD 20-BUEHLER �R CONTR: JOHNNY O ROOM/SF CONV BEDR00 J 068-210-107 PERMIT#94-2111, LOYD , HOWARD, n�� 20 BUEHLER AVE., OROVILLE ADD COVERED PATIO: 068-210-107 PERMIT#95- 832 LOYD, Howard 20 Buehler Ave., Oroville . Reroof & Woodstove/SF %�N� �Y/ 068-210-107 PERMIT#97-1997 LOYD,,Howard 20 Buehler Ave, Oroville Cont: Johnny Smith New Pri Det Carport �/%�L ✓�-�0-9� RESIDtNTIAL 068-210-107 PERMIT#97-1997 LOYD, Howard 20 Buehler Ave, Oroville PERMIT NO. Cont: Johnny Smith New Pri Det Carport PERMIT EXPIRES OWNER (� CONTR. 4 h ASSESSOR PARCEL LOCATION i +t r i 1 i 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V=OK O = Not OK Not '=Not Realdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer Location -Test -Fall -CAD -Concrete 8. Fr mg.; Sils-AnchorsStuds-Rttrs-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing VeneerShxx*-Mesh S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / /'LtL / /Nat or/ /•L•fL/ /LPG 11. Ext; Steps -Doors -Landings 7. Well Clearance & Disconnect 12. Braced Wall.Panels 8. Utility Clearance Date Card B- Date Card B-1 Date Da Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 1. Zoning Requirements- Setbacks Easements 4. Elec.; Receptacles and Lighting, Distance-GFl 2. Footings; ShxSpacing-Marriage Line 5. Elec.; Pod Lighting; 15 Volts-GFI 3. Gas; MH Test-0errand-VaKeConnector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 4. Electridty; MH Test -Crossovers -Breakers -Clearances 7. 'Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Drain; MH Test -Fall -Flex Connector 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 6. Water; MH Test -Regulator -Connector 9. Health Department Approval 7. Water and Sewer Connected -C/O to Grade -HD Approval 10. Plumb.; Cir. Test -Water Supply Test 8. Gas and Electricity Tagged 11. Light Niche 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Card B-1 Date Card B-1 12. Permanent Foundation Only: License Decal Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCEUANEOUS 3. Deck�tGirders and/or Joists-Decking-BracingStairs-Rails Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fr mg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerShxx*-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall.Panels Date Card B- Date Card B-1 Date Da Card B-1 Date Card B-1 POOLS(Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFl 5. Elec.; Pod 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/8 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 D _ NotNotj RESIDENTIAL (Single & Duplex) Not Ready Date UNDERFLOOR (Plans) OK except S's 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ p Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, SteeWyrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way QOSewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -,Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Cab 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; Sae & Anchors Date Card B-1 Date Card B-1 . Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Rxture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Cirouts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Ciro. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. 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 (Plans) OK except ft 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlirrroff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54: Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration-WallsWindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliancereplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OFDEyELOPMENTSERVICES-BUILDINGDIVIStON - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 �Pp T NO. APPLICATION Al"4DPERMIT Z / -/,7 � ASSEbW-5TTEb-107 ZONING AR BUILDING PERMIT ow10WARD LOYD x!181 SO. FT. OCC. BUILDING VALLINTiON 240 13 3120 OWNEJbftWKft1XX 20 BUEHLER AVENUE, OROVILLE CONT J6QB,q J "SMITH CONTRACTOR'S MAILING ADDRESS NAR NUE, OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 0 BUILDING ADDRESS 20 BUEHLER AVENUE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 12 X 20 CARPORT 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 Main Service ioon oa 'ss 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.powELL 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.50FT, NEW S. NON -R S110T RMAUJLTI-OURCH CUITS @7,50 APPARATUS d SINGLE 0 r .ET CIR. Ex. OCCu OUTLET OR FIXTURES 20@1'00 BAL .00 Ex. Occup. OurELeTs pES,p.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 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 compensation provisions of section 3700 of the Labor Code, I shall forthw'th comp with those provisions. X Date �� /2 Signature of Applicant -Owner ❑ Contractor ❑ Agent An OSHA permit is require 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 w 123.95 HAZ. D. FES IMP -- FLOOD CDF i CEL PAR_ PARCEL PD ,HD SUE 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. ? Da J Q0/9 e Date Receipt No. 994571 ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IJ N TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Atta hed Sent to B.D. �(S� TCI[2I.vAtz D L LA 4 COO I()2� Owner Location AP# Plan Approved for: Sewage Dispos,05;:� Water Supply: Public Private Well Clearance for dwelling. Other r2' W I CA2,2 l Hold final for: Final clearance O.K. for: NOTE: &anwiziez i �c'NS Environmental Health Specialist --t �► 1 Date 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 NO ❑ 2. I HAVE 4 HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the fo NAME: J d to provide the proposed construction: ADDRESS: &;7 CITY: e9 rd yr U L:r "6 G PHONE: 3- 7 7 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: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: Xel_� 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 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder,Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATI.ON°AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O ZONING BUILDING PERMIT OWNER TEL HONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDa S �% T141 3 L9 D o -z) CONTRA TOR'S NAME 5 TELEPHONE ' 53 !94 a CONTRACTORS MAIUNO SS CONSTRUCTION UE ER LENDER'S MAILING ADDRESS Fireplace Total Valuation ARCHITECT OR ENGINEER LICENSE NO. —Fifing Fee S 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee b Q BUILDING ADDRESS D hoz-a- V Energy Plan Checking Fee $ W S PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome sPEeIFr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK / New Q/Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ��- z -Q �/� �� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE f ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�ow oA LE. 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 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 Main Service 200A TO I000A 48.00 NEW CONST.-owELUNO OCCUP. SO OR ADONS. ( A ACC. BLD3. 3.50FT. N DONS MULTI.OUTLET NON•RESID. @7.50 POWER APPARATUS a SWGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES RAL 20 Ex. Occup. o. tPR .OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES i Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE FEE $1023 r 9 HAZ. 1 D FEES IMP I FLOOD I COF PARCEL I PO HD SSUE 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 (Data) ReceiptNo. - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. 46-� /Lt__ ,r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance %ll2wA�r� L /ovfl LIACI4 r.k�/� Owner Location AP# Plan Approved for: .Sewage. Disposal_ Water Supply: Public Private Well Clearance for dwelling. Other p21 X' ZU Hold final for: Final clearance O.K. for: NOTE: - - i'NS Environmental Health Specialist IN Date 3 10, $Q 3f $�Y4 APPROVED Butte County Environmental Health Da e Signature 3 Afollw and 8 set of tjT- X71vs� io dept or 'a-Ige ul * ... P - tile 6Q 02,3-,. t - I - I '120 �_i -,-� rt7 axe 00 ttts OT in -DOT 4 14u, atto - 420 ter CZQe wor'l-B. G, �44ec Iv (sp Use It 4f 7, Rq-7 BU, i BUTTE COUNTY N -t ILD q C. L:: P A R TNA E ............ col 'a At4D EOVO�ll ALI STIAkJOTU'E f- . -S ;HALL BE C tF 1: t' 05 FT. THE FIE AP o- ��-E, m THE RoAO g)g f M AND (3 LAO 4f 7, Rq-7 BU, i BUTTE COUNTY N -t ILD q C. L:: P A R TNA E ............ ib�.� f S�:T +�/ 1 � 861 E7 A/ I- ZFz 0 Burr- cow,Ty ,y'�_ �-.w_ � v t•�n�.. r �.Y.t .... .+s .✓rfl.. � �. �.� ... -n. �.!'.". .- `yaw. .,,.,^,� y. q COUNTY OF BUTTE 4 BUILDING DIVISION f: DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE '7 - PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at .'` the above address and should be corrected. Please notify this office when correction of work _ is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. z CL x a v Or r i: - a•. fn V- F� Date 3 Inspector, REV 10/9 -RESIDENTIAL _ - 93_2411 --21-0-107 068 LEE, HOWARD OROVILLF, 20 BUSH JOHNNY SMITH CONT R : TO BATVLROOIA _ i CONY BEDROOM / G1 JOB FINAIED Ma -� t A� Signature V=OK O = Not OK NotReeaady Applicable MOBILE HOMES 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 -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. 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-Breakere-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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columna-Connections-Spllce-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trueses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready i RESIDENTIAL (Single & Duplex) 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.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 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 #'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/Mach. 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 ❑ Yes ❑ 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 #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 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 -Lending -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 #'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 -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainae & Wood -Earth Clearance Looked under Floor 9 Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ 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: COUNTY OF BUTTE--- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,'California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT 3'"7 )l .11 ASSESSOR PARCEL NUMBER 068-210-107 ZONING AR BUILDING PERMIT OWNER Howard TELEPHONE 533-5581 SQ. FT. OCC. BUILDING VALUATION Est • 3,000.00 OWNER'S MAILING ADDRESS 20 Buehler Ave., Oroville 95965 CONTRACTOR'S NAME Johnny Smith (548538) TELEPHONE 534-1169 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$3,000.00 Filing Fee $ ".20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $97.00 20 Buehler Ave. Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 21.00 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 CX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New O Addition C3Remodel ❑X Utilities O Installation 1:1Other ❑ Describe Work: Convert an Existing Bedroom t0 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 New Bath room% ��b�` �� Main Service ( 1OV OR LESS 00AORLESS 1 23.00 Main Service ( 200A TO 1000A 1 46.00 •� /i�j� 9 / �:/ �• V �� OR ADONS.T ( D LLINBEACCGOLDS. 1 3.50 FT. 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 @7.50CONTRACTORS ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0`0 Ex. Occu FIXED APPWS. OR p' (OUTLETS (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. ❑ 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. *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 $ 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 in onsequ ce of granting of this permit. q X Date " �'�' / 3 Signa re of Applican - Owner ❑ 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 CONST. TYPE TOTAL FEE $ 138.00 HA2. D. FEES IMP FOOD RC PD HD (SSU 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. D�BLICWORKS�y /' nByDate / (� %7 y tl PERMIT EXPIRES ON / a tel Receipt 143696 .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;1. ..._ .. ,rti'"• Jy 1S ...it _,r ,ter"r l .. ,,-.a�.ly„*.. ..-•`i - .. - ... COUNTYOF BUTTE - DEPARTMENTOF DF-VIELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET N - V OWNER % lee A. P. No. 6 S - Proposed Building Use f :v� Looter Building Inspector 440 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: F DATE RECEIVED BY 1. All items have been submitted . .............. ,...r...................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................4 3, Complete planC3�/4 sets, signed by preparer of plans. .. �3_ 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 shown on attached schedule. ............................. . 12: California Department of Forestry plan approval/fees. ....................... . 13� Flood elevation letter (100 year flood) by California Engineer. ...<i :............. . 14. 'Sanitation and plot plan approval 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 required. .. to Building �speaor. (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 and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor.. Telephone S SS>?/ and hold for pickup at 0xpc„ (1 e office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date -% 7I 9 3 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 4-�2,/ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 7 ZONING BUILDING PERMIT OWNER uwttrcQ TELEPHONE 5.33 SO. FT. OCC. BUILDING VALUATION O OWNER'S MAILING ADDR®� �o tjUf- CONTRACTOR'S NAME TELEPHONE lU SMly_1 6y853s' 531/-r/69 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3 60 0 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER uCE 4SE NO. Plan Checking Fee $ 23 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS h O � � " ex Ue PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 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 SFV Duplex ❑ Mobilehome ❑ 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 New ❑ Addition ❑ Ree�modelid�/ Utilities ❑ Installation ElOther O Describe Work: ` 6AI Verf &41 L)(IIS-j••-1Ntx �(��O�A. 1 V U rT`rr ` l 1 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200AIV OR LESS ) V OR LESS 23.00 Main Service ( 200A TO IODOA ) 46.00 - - NEW CONST. DWELLING OCC P. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT, 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 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) ❑ 1 am 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 ) Bp@1.00 50 O OR FIXED (RES Ex. Occup.UT (OUTLETS IRESID.) 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 $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 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, judgments, costs, and expenses which may in any way accru against eid County in consequence of the granting of this permit. X Date (•(� Signature of Applicant -{3. Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" dee and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES HAz- D. FEES IMP FOOD ' CDF This permit is hereby issued under the applicable of the Butte County Code.and/or Resolutions indicated above'for which fees have been DIRECTOR OF PUBLIC WORKS By PERMITEXPIRESON (Date) PARCEL PD HD ISSUE provisions to do work paid. Date � (p /9 11 41-334 Receipt No. (p WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Z /44. 2 x!f sru �G oc.FER— ' a rr.} ' -t7 1 0 5 it r� � JO (1 '� F 7 �' � At ; v 7"o BB eONWI o OMew fig. `��• 3 02 Y ' fi R u� •? 1041 *t, A o 0416 c BV S�0 Zly6!3 Z --_r s s ofTans and pecif catioi it Mt ST b 41 ke cn he job at all times anc it is unlavrful me te,-'ar y cha nges; alt aratio ns on same with - ou writ en permiss ion f m t e Del ortm nt o Pu lir: Works, Cour,of Butte, � p . . tiJi"' O iN� clew " ateri Is .9 Wor'man. ip aff Irt CO MY h A a e w th R cogn zed . oo. Prc Yices and - ? of qual ty p scri ed f r the Spec tied use i the Bu LO 3, P � ENT Uni rm uildin , Plu bin & M cha ical odes and atio al Electrical I co e.. P . RESIDENTIAL - 068-210-107 PERMIT#94-2111 LOYD, HOWARD 20 BUEHLER AVE., OROVILLE ADD COVERED PATIO/SF 53 - 17 3.- JOB FINALED (Date) v Signature _ , V=OK O = Not OK Not ReadY ble MOBILE HOMES 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 -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P'L" ft./ /"LPG 7. Well Clearance S Disconnect B. 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 S. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -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 MISCELLANEOUS Date/Initial DECKSj COVERS, CARPORTS GARAGES, Plans OK except #'a Zoni Requirements -Setbacks -Easements C, ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. ders and/or Joists -Decking -Bracing -Stairs -Rails 4 d Awn.; Posts-Beams-Rftm.-Connectors hthg.-Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: Sils-Anchors-Studs-Rftrs-Trusses 9. Sidi n iling-Veneer-Stucco-Mesh ,A of; Shthg-Roofing 11. Ext.; Steps -Doors -Landings i Date/Initials PGFOLS (Pla s) 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 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater S. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) . • - Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., 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 -Fisting -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 -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 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 #'a 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 ❑ Yes ❑ 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 #'a 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 M's 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing 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 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. Battles 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 N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 -Mach. 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 ❑ Yea 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 ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif&nia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT � �Z_�T- ASSESSOR PARCEL NUMBER 068_210-107 ZONING AR BUILDING PERMIT OWNER HOWARD LOYD T�nN— 581 SQ. FT. OCC. BUILDING VALUATION 540 C 7,020.00 OWNER'S MAILING ADDRESS 20 BUEHLER AVE OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 64.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 20 BUEHLER AVE PERMIT FEE $ 183.35 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each 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 Ck Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition & Remodel O Utilities ❑ Installation ❑ Other O Describe Work: COV PATIO (18X30' PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. So, OR ADONS. ( & ACC. BLOS. ) 3.5C FT. 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 Professions Code and my license is in full force and effect. License No. Classification '�1, 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 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup.FIXED APPS. OR ( OWUTLETS IRESID.i EA. ) 5.00 TService Temporary ry 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. ❑ 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. ❑ [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. 1 also agree to save, indemnify and keep harmless the County of Butte against all , and expenses which may in any way accrue against said liabilities, judgmeVence County i c nseqthe granting of this permit. �j X Date ignu Se of Appli nt O O r O Contractor El 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 CONST. TYPE I TOTAL FEE $ 1 •PD HAZ. D. FEES IMP OOD ARC ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � BY D to PERMIT EXPIRES ON lD tel Receipt No. 167248 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l COUNTY OF BUTTE. BUILDING DIVA(% DEPARTMENT OF DEI; f OPMENT SERVICES 1469 Humboldt Rofid, Chico, CA'- (916) 891-2751 7 County CenterDrive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,o ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Z6 Inspector. REV 10/;(2 7 !f. 44�NYMV+iy..r.....a:r ti!^.��:?Y. y-� *.�....:r*"t-��.i>,.t✓''!'w}*. . -.n... t � . ! �1'� 1� ,'.COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION J .. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 -PERMIT APPLICATION DATA SHEET OWNER 2A. P. No. (� Proposed Building Use - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 4; DATE RECEIVED BY 1, All items hW been submitted'" ........................................:: 2. Plot plans A se signed by preparer of plans. ..... ............... . Complete plans 4 sets, signed by preparer of plans. M. ........... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ............................................ T 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 shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo ) by Ca'f rnia Engineer. ...............:::4 14. Sanitation and plot plan approval V ealth 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). ...P"sp* �o; r6gJe9_ 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 and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pick pat office. Deliver with inspector. Other Parcel Creation `7 _ �_0 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 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). 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 5LO-- ? -C�Lrcx-,�, Copy - Department of Public Works 6o -rn .8o rr ^, n -0 )0/L5 A,/ .4L4A1< r-. o .i+ -AV TO: . - Building Department FkOM: Environmental Health SUBJECT: Sanitation Clearance Plot Plan Aftdwd Floor Plan Anachad Sent to 11.1) . i ow AAD tl-byp C ur-4'r-62 Or'e-c�-)/O- U7 Owner Location 20 AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance forvOther l �� )C �O� �o uc=�� ?A --176y . Hold NOTE: Environmental Health 8/92 -g- 14 -z -c G- 9 l(�4. Date COUNTY OF BUTTE Department of Development Services Building Division . Oroville: 7 County Center Dr., Oroville CA 95965 Chico: 1469 Humboldt Rd., Chico CA 95928 OWNER -BUILDER VERIFICATION Attention Property Owner: Ph: 916-538-7541 Ph: 916-891-2751 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) IU 2. I (have/)tee-fwt) 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 ' / Social Security Number ' Date — S 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. s ecifocations MUST b8 11 glans and P and it is unlawtul to Set of P � t all tunes saR,e without -kep cg oz a1e arta►e ►t o-..ruclia_._.._..._. snake Y a written Perm►55'ofi Butte �hv C Pyc�E bVorks, County '�� 2S' Jy2 t1G 6 v,GArb� ��GG � CEJ r � .0 \110 APpRO r ��e VFD Virg Covet ALL STRUCTURES AND E()UIPMENT 1MCLUDM OVERHANGS, SHALL BE CLEAR OF ALL EASEMENTS. A SET HACK OF FT. FROM THE SIDE AND FT. FROM i TH-2- REAR PPOPERP't LINES AND S72 Fe T. FROM THE ROAD CEIL°'3 ERLWE SHALL BE CLEAR OF'STRUCTURES AND EDUIPMEN7 ACCEPT EAVE OVERHANe. �� v� Opp � bx�� 01%4 P m c It ) p pipno r i v f -r v rf i" a 1 •� 14i6A iii;-- R-/ POO COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVEJ.OPMENT 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 2-111 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 quest' o� pertaining to this matter, or need additional explanation, please contact this office immediat7v. I / C Q X . �� i0 -::z �i� Ci _ / %�� !� S 1h 'L7_ e-- - 0111111111 Date l6/ c Inspector REV 101d2 ',�-i's�Rtr�'t'!Q`r*�^�i�y,')R�"IY'I�Ei�.r^'.rt'�..rry�f'"'"'=` -_ -.""•t - .,..,,r _ _,,, � . -� "y�A,t�•e.,rix—.. 068-210-107 PERMIT#95;1832 LOYD, Howard 20 Buehler Ave.., Orbville Reroof & Woodstove/SF t -41Y a 1 G � t A Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT PERMIT NO. APPLICATIONAND PERMIT ,`��5-%R2�Q, ossEs068-21PARCEL u --Q-107 zoNlNc DCa BUILPERMIT OWNEIRWARD LOYD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER dAIL1,tb E,TS R AVE., OROVILLE CA 95966 �+ 12 P 60 720 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace "Alt 1500 CONSTRUCTION LENDER UNKN9WN Total Valuation $ 2220 LENDERS MAILING ADDRESS ,. Filing Fee $ 20,00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER NONE UCEN$E NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy ecg Ener Plan Checking Fee $ Penalty $ BUILDING ADDRESS. 20 BUTLER AVE OROVILTE PERMITFEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑R Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF W/C0M.Y A1dD WOODVOV; . Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMITFilin Fee 20.00 Main Service a OV OR LESS ( 200A OR LESS ) 23.00 i 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 I No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: A, Ii 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLOS. ) 3.5QSO. FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIR. Ex. Occup. (OUTLET OR FD(TURES) BA2L Q 1.00 L SO Ex. Occup. OUTLEEDTS PaESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing 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, I shall r \ 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 w0ypose provisions. X / Date _ I — Signature o Applicant"- of ❑ Wner ❑ 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 74.00 TOTAL FEE $ Y 00 HAZ. D. FEES IMP FLOOD c3 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 OZW df,/Date PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �? P/-.?/ � (Date) Receipt No. lAnQ10 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF DFWELPPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 _ PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-21-0-107 ZONING BUILDIN PERMIT OWNER HOWARD LOYD TELEPHONE SO. FT. OCC. :f'v BUILDING VALUATION nn 12 l'!' 60 720 OWNERS MAILING ADDRESS 20 �BUEHLER AVE., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace i "A" 1500 CONSTRUCTION LENDER NONE UNMOWN Total Valuation Is 2220 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 T,i R �, 1♦ ! , PERMITFEE $74.00 00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 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 ❑ Utilities ❑ Installation ❑ Other 13 Describe Work: REROOF WCOMP AND VOODSTOVE Mobile Home IS I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a00V 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. ❑ 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 So. OR ADDNS. ( & ACC. BLDS. ) 3.5¢ FT. NEW CONST.LTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I•00 BAL .SO EX. Occup. OUTLEE-DTS (REs16.)EA ( ) 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 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe 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 wit ose provisions. X _ ____ Date / / Signature o Applicant- ❑ ne O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ co".TYPE TOTAL FEE $ 74.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for which feXhaven paid. BY /n� ate / PERMITEXPIRESON /ls//4� (pate) Receipt No. 1800 (1 I WHITE-D.D.S.-B.D. C ARI-A�`SESS0R PINK -INSPECTOR GOLDENROD -APPLICANT _ Attention Property Owner: - Aa "owner -budder" building permit has been applied for in your naive 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[n NO[ ]. 2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the proposed work- 3. ork3. 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: NAIL M: 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: NA ME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:_ DATE: 3/- _ 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 off -ice before _ we are permitted to issue the permit. 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 parry 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 r .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 ybur 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 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. 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 pe:s :rally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in vour 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. Sincerely, Michael C. Vicira, C.B.O. Manager, Building Inspection NOTE: This Owncr-Builder Information is required by Section 19830 of the California Health and Safety Code. O VE R 068- 21-0 -10 7 9 3-2146 B,E• LOYD, HOWARD 20 BUEHLE. AVE, OROVILLE CONTR: JOHNNY SMITH ELEC,.&.REMODEL CLOSET/SFV COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS nn PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 l��_ �' /�// APPLICATION AND PERMIT �� / T f[a ASSESSOR' PARCEL NUMBER 068-210-107 ZONING 1 BUILDING PERMIT OWNER Howard Lod TELEPHONE 534-5405 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 20 Buehler -Ave.. Oroville 05965 CONTRACTOR'S NAME - Johnny Smith 548538 TELEPHONE 534-1169 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1000.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 22,50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 37.50 PLUMBING PERMIT Filing Fee 15.00 20 Buehler Ave. Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New. Addition _ Remodell I Utilities❑ Installation❑ Other] Describe work: Remodel Closet and Blectricel Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200A TO 1Oo0A/ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License 'Jo. 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. ( ACC. BLDGS. NEW CON5TR ULTI-OUTLET @ 5 00 NO N.R E SID BRANCH CIRC ITS APPARATUS 4 (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES20 @ 76d Ex. Occup. OUTLETS (RE51D.)REA.1 I 3.00 Temporary service 15.00 Mobile Ho me Facilities 15.00o Misc. H 9 1 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 ; I have placed on file with the County of Butte Building Department LJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 15.00 Heating Cooling g 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 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 aid Gyb�u�ntyinonsequence of the granting of this permit. X, n Date -7 r ' 1 75 Signature of Applic nt — Owner R] Contractor ❑,} Agent ❑ An OSHAwork 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 S Energy Inspection Fee & DCC CONST TYPE TOTAL FEE $57.50 HAz 1 0FEES IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DI CTO OF PUB -H/ORKS By %sti�b'/% '' Date ��- PERMIT EXPIRES Date 143545 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLI RKS 7 County Center Drive - Oroville, California 95965 - Telephone 916.'53 541 APPLICATfON AND PERMIT y RMIT NO.-zl ASSESSOR PARCEL NUMBER 06 -210-107 ZONING LDING PERMIT OWNER Howard Lod TELEPHONE 534-5405 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 20 Buehler Ave., Oroville 95965 CONTRACTOR'S NAME Johnnv Smith 548538 TELEPHONE 534-1169 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1000.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 22.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 37.50 PLUMBING PERMIT Filing Fee 15.00 20 Buehler Ave. Oroville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Li Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Remodel Closet and Electrical Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 20CATO1000A1 37.50 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 and effect. License .Jo. 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&� OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft. NEW CONSTR ULT'.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS 9 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin 9 1 15.00 Permit Fee $30.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F-1 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 Filing Fee 15.00 Heating Cooling g 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 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 again s ai punty in yonsequence of the granting of this permit. p Z X Date `% ` �' / 3 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $67.50 HAz 1 11FEES IMP FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D CTO F UB By 1pk. PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. ORKS �/�14 Date Receipt No143545 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF,,PEVEL� WENTSER ICES - UILDING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,'CALIFORNIA95965-TEL FHON-916)538-7541 J / ' PERMIT APPLICATION DATA SHEET V OWNER T7 um a �, . / o.C�(O o - U Proposed Building Use Ma Q6L GL. Building Inspector Date r- At time of permit application, I was advised the following data must be submitted prior to permit processing ands/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 shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico., lumbinpermit . 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. .......... . 1 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . ' 20. -Ins a o�edo� (Date) Pre -inspection for required. .. to ` 21. Contractor's license information. (No., Name Style, Classification) . ............. . x,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. C6py 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 and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. \:.................................................... . 33. 34. When you issue the ermit, proce s as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 9� Acreage Applicaht Date Copy of Haz-Mat form sent Health Dept. "ti 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 bpi 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 d