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HomeMy WebLinkAbout068-346-008bar R. L. Youngblood 4006 Hilldale Ave., Oraville Permit #5070-76B,P,E(enlarge kitchen/ SF) 26 -7ota/ � - / 5- -.&W ''68--346-08 -permit#412-89B(replace portion siding)SFF 68-346-08-3175-9 E: - YOUNGBLOOD,, R.L..' 4006 Hillq.-j-le Ave., Oroville (elec-.ser"ch)SF 08-34-6-008 -92"2912B, YOUNGBLOOD, R.L. ,40% Hilldale AVe, OroVille - cove'red-deck/sf 0.68-34-6-008 9,3-2392 YOUNGBLOOD R.I. CONTR: OWNER 4006.,H,ILLDALE AVENUE, 'OROV.ILLE CONV. CARPORTTO STORAGE .068"U6-08 'PERMIT#94-2137-; YOUNGBLOOD, -R-.L Ht -DALE AVE'.:,, OROVILLE REROOF/SF 9/���! 068-346-008, 04-3232 YOUNGBLOOD, R L #*A I 4006 HILDA'I,E AVE, ORO I LED CONT: JENNINGS ROOFIN TEAROFF/REROOF. CXfl8-syr-oOg 7r - 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.neAdds PERMIT NO./ BP043232 V 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: 1-1/05/2004 APN: 068-346-008-000 the Business and Professions Code, and my license is in full force and effect. License class : L_3 ,_ Liicense Number: C i Site Address: 4006 HILDALE AVE ORO Date: 1 Contractor: Asl ►M r � ��,/ Map Index: Description: TEAROFF AND REROOF W/COMP (22) 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 - YOUNGBLOOD R L & DOROTHY C REV LIV . Owner. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she. is licensed pursuant to the provisions of YOUNGBLOOD R L 8r DOROTHY C 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 TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 4006 HILLDALE AVE 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 such work himself or herself or through his or her own employees, Applicant: JENNINGS ROOFING 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 979 FLYING V STREET proving that he or she did not build or improve for the purpose of CI -{ICO, CA 95928 sale. ). ' 530-898-9388 ❑ 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: JENNINGS ROOFING ❑ 1 am Exempt under Article 3 of the Business and Professions Code 979 FLYING V STREET Date: - Owner: CHICO, CA 95928 530-898-9388 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 License #: 798442 Labor Code, for the performance of the work for which this permit h is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of ' (f Architect: 1 the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: Total Square Ft. -0 S. F. , '� 1 certify 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, 1 shall forthwith comply with those provisions. Date: — O —/' Applicant: WARNING: Faildf-.:� secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and .one hundred thousand dollars ($10000), in to the cost of- -addition compensation, damages as provided for in Section 3706 of the Labor Q _ \ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is herehy issued under the applicable provisions of the Butte County Coda andlor Resolutionsto db o ' icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . G Name: By: Date: Address: PERMIT EXPIRES 0 a` .� te ❑ 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 1 am the owner or the duly authorized agent of the owner. I agree to comply with all couAty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a y official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: (moi ✓v) !aC,ll n -r 117) f Signature: �T Date: t-05-^Gt/ ❑ OwnerContractor ❑ Agent for Owner 0 Agent for Contractor 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.netldds PERMIT NO. BP043232 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: 11/05/2004 APN: 068-346-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: L-3 License Number:? L—(f q Z Site Address: 4006 HILDALE AVE ORO Date: f — �� Contractor. Awrl Y" L Ly! r/! Map Index: Description: TEAROFF AND REROOF W/COMP (22) 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: YOUNGBLOOD R L & DOROTHY C REV LIV permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of YOUNGBLOOD R L & DOROTHY C 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 TRUSTEES she is exempt therefrom and the basis for the alleged exemption. Any 4006 HILLDALE AVE violation of Section 7031.5 by any applicant for a permit subjects the OkOVILLE, 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 such work himself or herself or through his or her own employees, Applicant: JENNINGS ROOFING 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 979 FLYING V STREET proving that he or she did not build or improve for the purpose of CHICO, CA 95928 sale.). 530-898-9388 Cl 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: JENNINGS ROOFING ❑ 1 am Exempt under Article 3 of the Business and Professions Code 979 FLYING V STREET Date: Owner: CHICO, CA 95928 530-898-9388 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 License #: 798442 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 #: 7 1 certify 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. Date: — v Applicant: WARNING: Fail secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of \ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here issued undlllllller the applicable provisions of the Butte County Code gnrVor 1 hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions to do o ' icated above for which fees have been paid. r� V1 G performance permit Name: - -� B 1 Date: PERMIT EXPIRES 0 : ate 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 & 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 a y official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: " "n !�31Y1 vt I h � r . Signature: r Date: i l — d 5- ❑ Owner 1KContractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 4 AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 •.CHICO: (530) 891-2834; OFFICE #: (530) 538-7541 A FEE WILL BE REOUIRED'AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" • OWNER .4�e Last Name Must Name Address e-loo(a Ara I City � T-0 v c I I •StateC Z►p �S- Phone 5-30 S3.Z 0383 Fax E-mail } ,. CONTRACTOR Name, Flood Zone Address 1. - , �rC'r(,-V, City C r� G v No StateC Zip 9 f v3 Phone 530 3 �� Fax E-mail Planner lic #7q��fyZ ClassC_35 ,. ARCHITECT/ENGINEER Name Flood Zone Address , City No State Zip Phone Book Fax E-mail Planner State License Number APPLICAAFT— NATURE X , For offic only: APPLI CANT NAME Name Flood Zone Address SRA City No State Zip Phone Book Fax E-mail Planner APPLICAAFT— NATURE X , For offic only: Zoning Property Address Flood Zone Cross Street SRA I Yes No Ox. Type Const. Subdrvision Name Map OA Book Page Lot # Planner Date Approved: PERMIT NO. — BIN # LOCATION AP4 64 �o (/ Property Address Tly- 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: CO v- o -F-C c — L-1_'� Com 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 aftei 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. IReceived by: Amount Bidg I IIS SRA it Receipt # Date: Sheriff SMIP I � Other )' Twhl SUBMITTAL & PERMIT REQUIREMENTS ' .. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS W/LL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLEAND IN /NIG ❑ 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 paperl) 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 1 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 7 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 3 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 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). 9. Site plan and business license approval from the City of Biggs. 10. Letter of intent for non-residential buildings. 7 11. Detached Accessory Building Form filled out by the owner (if required). ] 12. Hazardous Material Form (for Commercial Buildings only). 1 13. Sanitation and site plan approval from the Environmental Health Department. 'emaining items needed to issue the permit. Additional items may be required after Plan Check and Planning :view (May require additional plan review upon receipt of the following items.) 1 1. Agricultural Buffer clearance and site plan approval from the. Ag Commissioner's office (if required). I 2. Impact Fees. I 3. California Department of Forestry plan approval (if required). 1 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. Workers 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). you have questions or would like additional information regarding this process, contact a Permit )plication Assistant at (530)538.7541. EXPIRATION OF APPLICATION plications for which a permit has not been issued will expire one year after date of application. In order to renew action an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS funds can only be made upon written request by the person who paid the fee. The request must be made within two irs from the date of fee payment on permits not issued, and two years from the date ofpermit! ssuance for permits jed; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan ,ck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION DRMSSUILDING F0RMSMdnAnn1.Qtd Pn—f 4__ 1 RESIDENTIAL 068-34-6-008 93-2392 YOUNGBLOOD, R.L. CON.TR: OWNER 4006 HILLDALE AVENUE, OROVILLE' CONV. CARPORT TO STORAGE J 1 y• F 4 s z • x' V= OK O = Not OK ` =NotAed NotApplicable MOBILE HOMES' - MISCELLANEOUS Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a - Date/Initial DEC OVERS CARPORTS GARAGES Plana OK except #'a 1. Zoning Requirements-Setbacks-Easements JorZonlng Requirements-Setbacks-Easements 2 Soils; Special MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Teat-Fall-C/O Concrete 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Teat-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectore S. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete Shthg -Rfg.-Bracing 6. Gas; Location-Teat-Wrap: / /"L"ft. 5. Alum. Awn.; Columna-Connections-Splice-Decal-Enclosures / /"Nat. or/ P'L" ft./ /"LPG*, 6. rts; Windows-Doors 7. Well Clearance & Disconnect Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. ng; Nall Ing-Veneer-Stucco-Mesh ` - 0. Ro f;-Shthg-Roofing Ext.; Steps-Doors-Landings Date/Initials MOBILE HOME INSTALLATION (Plans) OK except q'9 1. Zoning Requirements-Setbacks Easements 2 Footings; Size-Spacing-Marriage Line a 3.. Gas; MH Test-Demand-Valve—Connector Date/Initials POOLS (Plans) OK except #'a 4. Electricity; MH Teat-Crossovers-Breakers-Clearances 1. Setbacks-Easements S. Drain; MH Test-Fell-Flex Connector 2. Soils; Compaction-Structure Stability 6. Water; MH Test-Regulator-Connector 3. Pool Structure; Steel-Connections-Thickness -7. Water and Sewer Connected-C/O to Grade-HD Approval Dead Men -Lining .8. Gas and Electricity Tagged - 4. Elec.; Receptacles and Lighting, Distances-GFI - 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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 1 V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL ' = 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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchor; 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 , 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 -Nail 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/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 At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral O 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 #'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 Single & Duplex) 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 #'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 -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 O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor 0 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICEvsuttRIING DIVISION 7tounty Center Drive - Oroville, California 95965 - Telephon(916) 5 8-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-346-008 ZONINGBUILDING AR PERMIT OWNER R. L. Youngblood TELEPHONE_ 2- 3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4006 Hildale,Ave-, Orovillp 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDflESS Total Valuation 1$1,125.00 'Filing Fee $ 20.00 _ Permit Fee $29.00 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $23.00 $ $ BUILDING ADDRESS ) PERMIT FEE $72.00 4006 Hilldale Ave. Oroville w 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 (X Duplex O Mobilehome O 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 13Remodel C)Utilities ❑ Installation ❑ Other Describe Work: Convert Carport t0 Storage Room Work Done W/O Permits PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( e00VORLESS ) 20OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) So, 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) O I, as the owner, am exclusively contracting with licensed contractors- (Sec 7044) O 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 ) B2 @1.00 FIXED Ex. Occup.RESID OR ) ( OUTLETS (RESID.) EA. 4 5.00 20.00 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): O This permit is for $100.00 (valuation) or less. O 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 $ 40.OO Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 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 accrue against said Count c e ence of the ranting of this permit. X Date 7 -�®- -f� Sig lure er O Contractor D Agent An O I is r quired for excavations over 5"O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 CONST. TYPE TOTAL FEE $ 112.00 HAZ• I D. FEES IMP F100 COF I PARCEL PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By p PERMITEXPIRESON Q �� the applicable provisions Resolutions to do work been paid. WORKS Date /y 7 (De tel Receipt Na. 143687 .WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ^...,ch-...Zf*`.--r-�,r!'i.r'1(+r•,'''.rr'""'i+�IrY;"dt�t'R.:w�a^•+Y+n��[+.y,..rk1',�".'T'�./`-L���F.�.w'�'��y;.,�r�.� � v�rr,,,. �;,�.�-Ri�� g n.. � "�r Y- � ,. rL .. i •.. .•'�iSrT'� :.COaJNTYOF BUTTE - DEPARTMENTOF_DE7: LOPMENTSERV CES - UILDING DIVISION 1 y 7COUNTYCENTERDRIVE-OROVILLE,CALIFORNIA95965-TEL HHON 916)538-7541 -PERMIT APPLICATION DATA SHEET OWNER Nh /V y ivood A. P. No. U Proposed Building Use building Inspector ��� Date 20 �3 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 . ......................... . _pComplete 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................. . --- V��t�- 13. 14. Flood elevation letter (100 year flood) by California Engineer . ................. Xt, Sanitation and plot plan approval0 Gi//e 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 P°�"� 10" Inspector required. .. to e�;ia;"9 �nepador (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 5-34- 0383 and hold for pickup at oft-,,j((c_ office. Deliver with inspector. Other Parcel CreationAV-,7/24-E' Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept---AarPofil"ut br mate 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 N az� -, -&4"s Copy - Department of Public Works ps,Y,,6- O %✓�� �� 1: If uSli ()%'I_Y SI'I,iI H:111 AIIJihcd• Fluor 1'I:m Attached t sent 1„ 13.1). - c i TO:a Building Department COUNTYOFSUTTE . BUILDING DEPT FROM: Environmental Health Jut - SUBJECT: Sanitation Clearance ` ,u wz. Owner Location APS Plan Approved for: Sewa,,e Disposal Water Suppl y : Public Private Well Clearance fore. OthcrCIZ, "�` / C7_Rc3o tier Hold final fo Final clearance O.K. for: NOTE:_._, Environmental Health Special) 8/92 . �g C2- jlele4 ate COUNTY OF BUTTE -_Department 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 appliedfor 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 an 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 o. Address City Phone :Contractors License.No. !+: 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. S. I will provide some of, the work -but I have contracted (hired) the following b ; persons.to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security udgeA Date 1 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. r _ r S4vA ,/ I I 92--Z ��2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. G e0clilk, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �J,v/' i /�iC/(/Y ZONING _ BUILDING PERMIT OWNER 1 ou b�oo� TELEPHONE SQ. FT: OCC. BUILDING VALUATION aas z s� O OW NEWS MAILING AD R -0 ���_ 03 &3 III le, oe Wpe - CONTRACTOR'SNAME (w - _ _ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENOER'S MAILING ADDRESS Permit Fee $ 2 p -0 ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee - $ 7 o 0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEEWS MAILING ADDRESS Penalty $ BUILDING ADDRESS / f DD /_ t I i I I /� " —1 lY �'i l l V PERMIT FEE $ , PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBOIVISION'S NAME - PARCEL MAP Each gas'water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome VA ❑ 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 ElAddition /❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: CUI"VO jr-'J�- 7-0 S-rO 1-76C6-6- PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ( , OU�M`�g Main Service ( �VORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 _ NEW CONST. DWELLING OCC UP. OR ADONS. ( a ACC. BLOS. ) SO. 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) Q 1, 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 1 8 SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) 20 @00 BAL. 0 500 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) //�� 5.00 {�. C70 Temporary Service 23.00 Mobile Home Facilities Misc. Wiring it 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. ❑ 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 $ 0 - 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, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X Dateo' Signature of Applicant - ❑ 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 $ HA2. I D. FEES IMP I FLOOD I CDF PAZ9 PD HO 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 /De tel Receipt No. J113687 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT fitr. this set of pions and spec;--+inns MUST kept on the job of all limes rind it is un1nw4ul,•+e \J/ (, m4e nnv changes or altort- tons on some without 1 r �,� l co written permission from the Department of PubRe Works, County of Butte. 2 H ns / NOT9:—All Materials •& Workmanshi ra ticesJ and Recognized Good �r�ord ante . with it, a quality prescribed for the Specifi�d use in the Plumbing & Mochanicdl Codes otid Uniform Building, tho National Electrical Code. ' 2QI v VC rillAPPROVED Butte County Invironm al ay1h 3 . 1,OVEF e L-3 ignature Al S� 4�UG" �1fEu AND INCLUDING i- :h OF ALL EAS0 RENTS. ET _. f ��I t oR 2 FT. EQUIPMENT' O- (CEPT. BUTTS COUNTY A F_aVE. OVERH NN G° BUILDING DEPARTMENT -APPR VED c Ac - F_ NW XAAL,fu ZxG�5Tuo5� /G'O Qom',—� J1 15T/�/G wA�.� r' �. © o x i I 10 x m /Fac vow LAN el i Till"i'll s v O U4 to E X 1 s ��.,. 5�G A (3 F�-� 2 E i 1 FX/5T1/y6 SfiEfl '� ►� i IX K J 9, _ � e e M Q ELECTRi� ME C Pt.UIdi81N�`� CONSTRUCTION (NO C!•�ECKE� , EM' WALLCOMPLY UMC Wr H AN* C� �J • OF NEC, V p _ lo , _ � e e M• �C APPRoWED SUlle Count �,0m1.2z ta ire ' o M �0 W fL - - �BU�I,HTY _.. SUOiNG ®SpARTt4l*l _ AR P R ` 64D eAR� ST RAGE ' 1, DORY DEc/f M Q M• �C APPRoWED SUlle Count �,0m1.2z ta ire ' o M �0 W fL - - �BU�I,HTY _.. SUOiNG ®SpARTt4l*l _ AR P R ` 64D eAR� ST RAGE ' 1, DORY DEc/f �' .. 4 7p��..F�;':yx..�-»:a.�rng F�.z`x�F.f�� �'i,'2`a"rr77p :>.r'v`�riry �i_%EZawr•:!"'-YS!�t„P"4'"?'.i'}'?�i�,,�•`.Yiiy„hY`&;.:;e�x�,,:iYA�'S:'�';rirg+,r�.�=4'" z.. .'w,:Y�jF: �",�'7r,�.�r.Ec.*!. �. ,.,,;a:�r+Y` r 068-346 OQ8 PERMIT#94-2137 'YO.UNGBLOOD, R. L 4006 HILDALE AVE.''OROVILLE KERQOF/SF i 1 ' ` 1 t r iLL � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 38-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-34-6-008 ZONING ar BUILDING PERMIT OWNER RL YOUNGBLOOD TELEPHONE 532-0383 SO' FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4006 faMALE AVE OROVILLE 95966 26 CONTRACTOR'S NAME�w�rryy �q�t MOM MER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ ► 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4 4� PERMIT FEE $ 1,57.00 OROVILLE, 95966 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 bDuplex ❑ Mobilehome O Other SPECIFY r Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK i 1 New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other ❑ Describe Work: CW, RVIROOF i PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service ( ) 2'011 OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) So, 3.50 FT. 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underp 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) O 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 1 a SINGLE ourLETcIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) 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 $ 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, judgments, costs, and expenses which may in any way accrue against said County -in consequence of the granting of is permit. I"\ i X sl , ?? Date ! • � Signatur of App icanv' 9 _0wner'--0'C tractor ❑ Agent �-- An OS�IA permit Is -7 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 $ 57.00 HAZ. I D. FEES IMP FLOOD I COF PARCEL FPO71SSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B (LL -Z-4- PERMIT EXPIRES ON 7/27/95 (betel provisions to do work paid. Date r Receipt No. 147 WHITE-D.D.S.:B.D CAWAR?=ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cplifornii,95965 - Telephone (916)x,38-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-34-6=008 ar ZONING BUI DING PERMIT OWNER RL YOUNGBLOOD TELEPHONE 532—'0383 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4006 HILLDALE AVE OROVILLE 95966 26 CONTRACTOR'S NAME WONER OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4006 PERMIT FEE $ 57.00 OROVILTY, 95966 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 INDuplex O 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 EIRemodel C)Utilities ❑ Installation ❑ Other O Describe Work: COMP REROOF PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 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 NoClassification 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) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET CHR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occu OUTAPPLNS. OR p' ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. WiringE 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. Od 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 S 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 accrue against said Cou"etrhe f the gra ing oft permit. Date�� `if Signo tractor ❑ Agent An uired for excavations over 5"0" deep and demolition or consover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ;indicatad abov for which f es have been paid. t,��/J Date PERMIT EXPIRES ON 7/27/95 (Date) Receipt No. 1�p%.r��l WHITE-D.D.S.-B.D. ' CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY,OF BUTTE Department of. Devel pment Services Buil&g4blyision 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 orno) no) ✓°.a/ .. i 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. 1 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. 1 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: NOTE: This Owner -Builder Verification is sent to_ you as required by Sections 1.9831 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. ' PERMIT NO. :-. _ 5070-76B P,E A., v PERMIT EXPIRES "-7Z1-27 OWNER R. L. Youngblood is CONTR. Owner LOCATION (A.P. 34-266-8 ) 4006 Hi.11dale Ave., Orpville v ! r., f 1 l Temp. Power Pole Called PG&E ' Temps' Elec. Serv. /Called PG&E emp. Gas Serv. Called PG&E JOB FINALED46 — �—-76 (Date (Sign ur&) COUNTY OF BUTTE — DEPARTMENT OF 'PUBLIC WORKS ` BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - ZU Firewall Soil Piping Forms Parapets 1st. Floor Main Bldg. Restroom Finish 2nd Floor Footings % Windows Q -Z$--7C 3rd Floor Stemwall Siding -Z --7L To out Slab Roof Sheathing - 2 -f? --7C Water Piping LO - 6 Piers d "' Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas - Slab. Final Sanitation ------- Patio FIREPLACE Final Footin Footing ELECTRICAL Masonry Walls Throat Rou h s Reinf. Steel Final Fixtures Bond Beam N —FIRE SPRINKLERS Motors Framing Test .•z * L ryF Water Htr. Stucco Final -: -` ,�"i ` Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown",Cooling Temp. Pole ,Pfn'ish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final inalDATE DA TE L f REMARKS OR CORRECTIONS �1- H r a "4 Z: -X �� 9aw - (� 8 r U i (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DE'PARTMENT OF PUBLIC WORKS ' 7 County Center Druve f' Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT author, utho lze representat ves UI Ule uuumty of Butte to enter upon the above-mentioned property for inspection purposes. �2 Date Recei t No. 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 BLIC WORKS f By VDate ilding permit expires Date BUILDING Owner �� L t U u G S FT. OCC. BUILDING VALUATION Mailing Address d Avo ` I, 12— elephone No. Fireplace Contractor apPoe-,. Total Valuation Mailing Address Permit Fee , Plan Checking Fee&/or Penalty Telephone No. Permit Fee - $ !� T Building Address S' PLUMBING No. - @ FEE PERMIT FILING FEE $3.00 & do Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 , S Each gas water heater or vent 1.50 A. P. No p� — ��p _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60"R/W Improvements Lawn sprinkler system 2.00 . Bldg. Plans Rec'd Parc pproval Plans pproval u Permit Fee $ NEW ❑ ADDITION ® UTILITIES ❑' OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 {� �C Main service io00o AMP OR1 OR LESS5.00 Main service EA. ADD•L ioo AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 . Main service EA. ADD•L 100 AMP 1.00NEW CONST. DWELING . OR ADDNS. ( ACC`BLDGSS.2.P 20sgft NEW CONSTR. MULTI -OUT T NON-RESID. BRANCH CIRCUI SJ 2.50ea - NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50@25 FIXED APPLES. OR Ex. Occu p•(DUTLET$ (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No: Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , j' WORKMEN'S COMPENSATION INSURANCE I 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Icertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner Xso as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ author, utho lze representat ves UI Ule uuumty of Butte to enter upon the above-mentioned property for inspection purposes. �2 Date Recei t No. 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 BLIC WORKS f By VDate ilding permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center.Drive, Oroville, CA 95965 PHONE: 916-538-7541 R. L. Youngblood 4006 Hildale Ave. Oroville, CA 95965 Dear Mr. Youngblood: With reference to the above subject: RE: Building Permit Application #93-2392 A.P. # 068-346-008 Attached is: ' Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER XXX We need the following information: Permit application signed and completed where'indicated with all copies returned. Fees of $ .payable to Butte County Treasurer. . . Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. XXX Complete plans showing rooms next to. storage area. Plot plans in Structural details in . _. Complete plansand calcs in ..by_registered_engineer or architect. Energy design including ,. Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in'red. Sanitation -approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County.Center Dr., Oroville. Skyway & Elliott Rd..,..Paradise Planning approval from Butte County Planning Department; 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded.. copy_ of agricultural.. acknowledgement. _statement. / ' OTHER Should you have any questions concerning the above, please contact Bart League of this office., between'3:00 and 5:00 pm weekdays... Yours very truly, William Chaff Director of Public Works J.F. Glander JFG/aj" OWNER'S NAME: X/'Z l�/, UN RECEIVED .: PERMIT NUMBER: 3 Z A. P. # : D 8 " ��/� L 000 DATE -/ Aq 9- ❑ RESIDENTIAL ❑ NOIR RESIDENTIAL RECEIVED BY TIME CL — — — — — — — — — - — REQUIRED PRIOR T�0 PERIKIT ISSUANCE — — — — — — — — — — — ❑ FROM DATA SHEET REQUESTED BY PLAN CHECKER r . ❑ OTMER ����� ���� �� �'�r STIn(� �i / � N� --------------------------------------- REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO ITEM: LOCATION IN BUILDING WHER E CHANGE OCCURS: WIGS AFPROVED, PROCESS AS --------------------------------OLLDWS : Mail to owner (Address). it to contractor _ (Name and Address) Call 5 7 and hold for pickup at office. Deliver with next inspection. REVISED PLAN. (ACX FEES PAID: $29.00 $46.00 Additional Fees Not Required h / COUNTY.OF BUTTE DEPARTMENT OF PUBLIC -.WORKS PERMIT NO. ,Q 7 County Center Drive - Orovil,le, California 95965,pJelephone916/538-7541. APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER —346-08 ZONING AR BUILDING PERMIT OWNER R.L. YOUNGBIMID TELEPHONE 5,33-11019 SQ. FT. OCC. BUILDING VALUATION Ext. $600 OWNER'S MAILING ADDRESS• 4006 Hildale,.Oroville, CA --15966 CONTRACTOR'S NAMETELEPHONE J Owner _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER WN i Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 11.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR,ENGINEER'S MAILING -ADDRESS -------- Penalty $ BUILDING ADDRESS . 4006 Hild'ale Permit fee $ 21.50 PLUMBING PERMIT Filing Fee 10.00 -FachiTrap. i 4 0 _%, Oroville Solar or iieat 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 SFP9 Duplex[] Ntobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 i Building sewer 5.00 Mobile Home S I G I W �0.00e TYPE OF WORK New[-] Addition[- Remodelo ' Utilities E:] Installation ther� Describe work: Replace Portion of Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service IOO1100V OR LESS_AMP OR LESS 10.00 Main service EA. ADC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of thelBusines S and Professions Code and my license is in full force and effect. License No. Classification 11 1, as the owner, or my employees with wages as their soll c—ompen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) EJ 'I, as the owner, am exclusively contracting with licensed contract . - ors. (Sec. 7044) under Sec. Business and Professions Code ❑ It for f ; ­_ r, A I �;- this s!reason NEW CONST DWELLING OCCUP.5d) 21/20sqft OR ADDNS. ACC.BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea NON*RESID, I BRANCH CIRC CU, ITS POWER APPARATUS &I (SINGLE OUTLET CIR. i Ex. OCCUP(OUTLETS OR FIXTURES 120 0 0 5AL9530CC —Ex. FIXED P APLNS. I Occup. OUTLETS (RESID.)ORJ EA1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Oininif-Fiiii .4 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): TJ The permit is for $100.00 (valuation) or less. E] 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 QUUJVLL to the W. C. provisions of the Labor Code, youlmust forthwith comply 'with such provisions or this permit shall be deemed revoked. r Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating cooliAg Hood 3.00 Ventilation Permit Fee Contractor. I certify that 1-6av6 read this application and state that the; above information is correct. I agree to comply to all County Ordinances and State Law's relating, to building construction,, and hereby authorize repre-sentatives of the County ot'' Butte to enter upon thii above-mentioned property f6r.in-s-pection purposes. I also agre&,to save, indemnify and keep harmless the Coilnty of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againsr' id Zy iAia n conse uen of theanting of this permit. X est' e_ Date J SignatureqrA' �Iican _Contractor El Agent El An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Home Installation e Mobile Ho $ stallati Fee F 'Energy,. Inspection Fee $ 7 TOTAL PERMIT FEE t $ 21.50 0, "P. I CONST.TYPEJ ISCHOOL I FLOOD [WZ.R—CTELPD No 39UE This permit is hereby issued under the applicable provi- sions of the -Butte County Code and/or resolutions to do work i &'cated above for which fees have been paid. J IRECAA F PUBdl0?WORKS at '1 4 IPI'E`RM_1T EXPIRES Date 05 0 eceipt.No. 1 175 WHITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit#412-89 R.L. Youngblood 4006 Hildale, Oro v Y 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 NUMBER 68-346-08 ZONING AR BUILDING PERMIT OWNER OOD ONER•SY TELEPHONE 1,33-310.9Est. .SQ. FT. OCC. BUILDING VALUATION 600 AILING ADDRESS 4006 Hildale, Oroville, CA 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 11.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4006 Hildale Permit fee $L 1.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Oroville 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 SF XX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Replace Portion of Siding Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR LESS 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 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.SI OR ACDNS. ACC. BLDGS. hCSQft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS .&) (SINGLE OUTLET CIR. p 20050 EX. OCcU OUTLETS OR FIXTURES 8AL030 Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 t0 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 FiIirig Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that 1 have read this application and state that the above information 1s 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. 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 againq.9 t in conse uenc of the anting of this permit. X� �7-•'a Date Signata — wner Contractor ❑ Agent ❑ An OSHA permit is required for ex vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 21.50 OCCOP. CONST.TYPE SCHOOL FLOOD PARCEL P11 I NO ISSUE This permit is hereby issued under e County Code and/or workbove for which IREOF PUB si2TEXPIRES B P Date the applicable provi- resolutions to do fees have been paid. I ORKS Receipt No. WHITE-D.P.W., YELLOW-ASeE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 COUNTY OF BUTTE Department 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, nameand bearing 'yo ur 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) 4A )/ 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 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.• • 4 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 a Signed x Property.Owner 0?, ymalg���� Social Secu=rity Number 'Date 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'.tavi§sue the permit. t 68610 I 83.1 skuom o IUN03o 0. 31-0e R.L. Youngblood. 4006 Hildale Oroville, CA 95966 COUNTY OF BUTTE - DEPARTtTNT OF PUBLIC WORKS 7 County Center Drive, C.oville, CA 95965 PHONE: 916-538-7541, DATE . 2/9/89 RE Building Permit Application With reference to the above subject: A.P. # 68'346-08 At %ched is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet —� Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: X Per application signed and completed where indicated with all copies returned. �— Fees of $ 21.50 payable to Butte County Treasurer. X Certificate of Workmen's Compensation Insurance or check exemption statement. X Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). .sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Please complete the attached forms where indicated and return to . ANNE Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector 4 Y 93-2392 0 34-6-008 68 ur.RLOOD :t 1.LE rr SERVICES -. BUILDING DIVISION 1 , Telephone _(916): 538 7541 PERMIT No. 0 AVNUE ► D PERMIT -= CONTR'. -ILL T� EgTORAGS. - -- - 4006 CARPORT . .; a CONY • • ': # \� DIMI'L _ s r .11,j '99961i! TELEPHONE :. .. BUILDING PERMIT- St1. OCC. ' ' BUILDING VALUATION `- CONTRACTOR'S MAILING ADDRESS Fireplace . CONSTRUCTION LENDER - , _ ,-Total Valuation $1,125.00 _ Fling Fee $ - 20.00 - ... LENDER'S MAILING NwOREss .,. - • • Permit Fee $29.00. . ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking F@@ $23.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'SMAILNG ADDRESSEnergy Penalty $ - BUILDING ADDRESS PERMIT FEE $72.00 PLUMBING PERMIT Fling Fee 20.00 4006 Hilldale Ave. Orovil'le Each Trap 1 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 f ` USE OF STRUCTURE ` Duplex ❑ , Mobllehome O-. 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 _x ode1 O Utilities ❑ Installation O Other _ :. :r ver a e . Room Describe Work.: .: r �. /_0 Permits h . - ,- PERMIT FEE g Contractor ELECTRICAL PERMIT. Fling Fee 20.00 oe , (: �AORL� " ) 23.00 MalnSall, ce 46.00 NEW CONST DWELLING OCC UP. OR ADONS. &ACC. 8LD3. ) - -NON-RESNEW 0. �• _• h.' BRANCH CIMULTI-ONFICUHT9 I ': @7.50 - 5 f_ ;i .- • �i - :'- -.- • CONTRACTORS LICENSE LAW 1 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 m license full force and effect. _ y. - _ _ LLcenseNo Classifioation .. 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) ❑- 1''as the oW6r, am exclusively contracting with licensed contractors. (Sec 7044) am exemptunder Sec ` '= = ,Business and Professions Code ;:forthis reason -' ... - POWER APPARATUS (a SINGLE OUTLET cIR. Ex. Occup. OUTLET OR FIXTURES zo @ 1.00 P ( ) BAL 0 .60 Ex. Occu FIXED APPNS. OR p• - ( OUTLETS (RESID, EA. ) 4 - 5.00 20.00 Temporary Service 23.00 Mobile Home Facilities - 20,00 Misc. Wiring _. - 23,00 _ - - WORKER'S COMPENSATION INSURANCE declereunder penalty of perjury,(check one):: _ ' O This-`pennit is for $100.00 (valuation) or less: = _ '- 0-1 have plaited on file with7 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 Compensationlaws of California:. _-Hood, 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 $.40 Contractor- ". MECHANICAL PERMIT - Fling Fee 20.00 Heating' r Cooling _ 6.50 Ventilation PERMIT FEE $. Contractor I certify that I have lead 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 _ Coun c e nce of'the Panting of'this permit.; -- !� 7) - X ~Date �%-�®"' (/. Sig tur ❑Contractor O Agent : _ An O Is r qulred for excavations over 5"0" deep -and demotition. or" construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee- $ occ CONST. TYPE TOTAL FEE$112.00 HAz• O..FEES. IMP FLOOD CDF PARCEL. PD HD ISSUE This permit is -hereby issued -under the applicable provisioPs 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 fDeMl Receipt No. 143687 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT J=OK O = Not aK = NotNo Applic Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"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/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, ARPORTS, GARAGES, (Plans)OK except #'s onin : equirements-Setbacks-Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electri - rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11, Ext.; Steps -Doors -Landings Date _ Card B- Date Card B-1 Dat Card B-1 Date Card B-1 Dat 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 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 =Notyable RESIDENTIAL (; ' = NoYReadReady Date UNDERFLOOR (Plans) OK except ti'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-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. 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 --------Card - 1--------- Date ------ ----Card B-1---------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------- E-lec. Receptacles Spacing -Lights & Switches at Doors - ------- ---- ------------------------------------------ - 24. Size Boxes & No of ConductorsStapled - --------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------- -------------------------------------------- 27. 2 Appliance CircUts in Kitchen & Conductor Size/GFI -------------------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No ---------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----- -------------------------------------------------------------------- 31. Equip. Clearances Panel s- Equip. --------- ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light -------------------- ------------------------- 33. Smoke Detector --------------- ---------------- ---- ------------------------------------------- --- Date Card B-1 Date Card B-1 -------------------------- -------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34.- A.C.- Ducts Insulation & Support ------------------------------------------- ------ ------------- ------------- 35. Vent Fan: Exhaust above insulation ------------- - 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-1 Date Card -B- 1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n'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 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 ------------ 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 ti'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 & S_ubpanel; 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-Mech. Protection -------------------------------- 75. Plb.. Elec. & Mech._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 -Const ruct ion- Post Caps 79 Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive 13 Yes 0 No: Walks ❑ Yes ❑ No; Planters 0 Yes 0 No ----------------- 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - -- - - - -------------------------- 83. -----------------------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 -HDA Approval 91. Energy Compliance Certificate -Other Certificates -------------------------- ------------------ --- Date Card B-1Date Card B-1 - -- - ----------------------- ----- -- - Date Card -6- I Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ...v.--.•.- -•.�.� r.:�r�.+,..""a`^`rrr+::.+-.a:�—..:a:.-:.-rrl"s::..,+?��'r:.i..•°rz�•r .��>...�...:'.`' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 114169 Humboldt Road, Chico, CA = (916) 891`-2751 7 Cmwrdy Center Drive, Oroville, CA - (916) 538-7541 747 Mott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE QWWr' {'Z'�Idp -C�F / L PERMIT No. Arm - that the following violations of Butte County Ordinances exist at lie afb®se aRH amid shodd be corrected. Please notify this office when correction of work iimc=g0EQmLWW=H e=Mquestionspertainingtothis matter, orneed additional explanation, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �.- 7 County Center Drive - Oroville, Callfornla.95915 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 068-346-008 ZO IN )C' BUILDING PERMIT OWNER X.L. YUUNUBLUUD TELEPHONE 533-3108 S0. FT. OCC. BUILDING VALUAT+ON— O WNER'S MAI L1100$D HILLDALE AVE OROVILLE, 95966 317 0 2,219 CONTRACTOR'S NAME O ER TELEPHONE CONTRACTOR'S MVYYAIILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS I Total Valuation $ Filing Fee Permit Fee . 5,755 $ 15.00 $ 67.50 ARCHITECT OR ENGINEER LICENSE NO. �' ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 33.75 $ $ BUILDING ADDRESS 4006 HILLDALE AVE OROVILLE 95966 Permit fee $ 116.25 PLUMBING PERMIT Filing Fee 15.00 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 SFY 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 Remodel❑ Utilities[] Installation❑ Other❑ Describe work: COVERED DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO 1000Al 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ense 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 ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR AODNS. 1 ACC. BLDGS. I 3.64 sq.ft. NEW CON5TRMULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS & \SINGLE OUTLET CIR. EX. OCCU o Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. Occup. OUTLETS IIRESID IRE A./ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '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 o!,Consent to Self -Insure. 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 County 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 con equence of the granting of this permit. X Date " 1 7– % z-- An O5HA peAp .c 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 $ 116.25 rAz OFEES IMP FLOOD CDF PARC�16-1 ✓ PD IHD sst�l s/ This permit is hereby issued under the applicable provi- sions of the Butte County ode and/or resolutions to do which fees have been paid. wor�i��e PUBLIC WORKS By Date9-&k`,Z PERMIT EXPIRES Date Receipt No. 122564 WNITE-D.P.W., YELLOW -A99[390 R, PINK -INSPECTOR. GOLDENROD -APPLICANT f�Y�'��/`p 'F'*c^i,+ y� �r r�f'K;« . �,.t� w Yf'�'.e 1 rs"v4-�i,^•}+r 7t�.''F_'`�'f !' n, �.,,n.c ti�'C'�.-':�rs•...r,.4... r..i - COUNTY OF BUTTE - DEPARTMENT OF ,PU LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE, - OROVILLE„ CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT.,APP ICATION DATA SHEET A -x -16-o9 OWNER O1/h r:' A. P,i.No... Proposed Building Use '` '' -Building Inspector R J Date " •ye_.y jL 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 beensubmitted......................................... ' =1 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by prepargr Q.f,:plans� . . ................... . 4. Engineered plans and calcs, 3/4 sets, with -yet signature on plans . ............ . 5. Hazardous Material Form . ............................................ a v 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/!�Buildings. ...................... 8. Engineered truss detail and layout in duplicate (required prior to plan check). .... .? 9. Mobilehome data If manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees (as° shown on attached schedule. <, ....!u ...................... . 12. California Department of Forestry plan app�o�al/fees. ....................... . /1113. Flood elevation letter (100 year flooifornia Engineer....... . 4. Sanitation and plot plan approval Health Department .... _ 15. City of Chico plumbing permit.............. . 16. Plot plan and business license a`ppr I from Cityaof Bigg?/Gridley. ............. ry 17. Planning approval for (A) Us, -f'(B) Parking: . ........ 18. Contact Land Development oaboutC �(%�) rmprovements , (B) Drainage. .......... . 19. Driveway permit (coas!t�Woon approval required prior to occupancy). . . 6 L Pre-Inspedi requee-T- 20. Pre -inspection for required. .. to Building Inspector (Dale) 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 signatufe authorization . ................ . ....................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 1t- 27. Letter of intent on building use . .................. •...................... . 128. 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 . ............... v 31. Existing violations/expired permits. ..... ............................... 32. Plan check list. 33. 34. W ou issue the permit, process as follows: Mail to n Telephone '4:T1733310gand hold for pickup at Other Parcel Creation Acreage Applicant fail to contractor. office. Deliver with inspector. 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 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 r� �1 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works - Buildinc Department'. TOS-" FROM: Environmental -Health SUBJECT: Sanitation Clearance d DDS I ldal� ..���"-.3�6 -oo V AP# --• Own r - Location Plan Approved for: Sewaqe Disposal_ 'dater Supply Hold .final for: Water Supply 7inal clearance O.K. for: Water. sup Clearance for bedroommobile home. Other NOTE Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Crovlller Callfornla •95985 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR YqrNUA ZONING BUILDING PERMIT OWNER/�% 1/\ . c. l%u n o TELEPHONE .53331 OS SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Ll DO 1-0(( LC U C5 - 7 CONTR CeTOR'SSJ NAME o �Y MAILING TELEPHONE � O �i J Gr` CONTRACTOR'S ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ --7J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES(4 00S LI D I e Permit fee "75- PLUMBING PERMIT Filing Fee 15.00 1 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE , SF ❑ Duplex❑ Mobilehome❑ Other �-weVb4 [ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home -S G W @ 15.00 �/ TYPE OF WORK NewliXl AdditioRemo 10 Utiliti s❑ Installation❑ Other ❑ Describe work: Il%✓ �2G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 0V OLESS Main service 200A OR LESS 18.50 Main service 200A TO Io00A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RE 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- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP. 9 OR ADDN5. ACC, BLDGS. 3.6C sq.ft. NEW CONST - + ULT' -OUTLET SID BRANCH CIRC •ITS @ 5.00 /POWER APPARATUS o- \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES RAO @ 75d Ex. Occup. OUT LE Ex. RESID )REA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 ii I 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 1 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 said County in consequence of the granting of this permit. X Date Si nature A Applicant of 9 PP _ OWner❑ Contractor ❑ Agent F-1 An of HA of s uc estis overr 3guired storiesoin height. Ions over 5'0" deep and demolition or construct- Mobile Home installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ �5 r+Az DFEES IMP I FLOOD CDF I PARCEL I PD I HO I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been aid. WORKS p Date Receipt No. ZZSbY WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROO-APPLICANT COUNTY OF. BUTTE Depafimeht� of -Pi bli6" V6"J6ks - .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 a't. your earliest o.ppo-r.tunity to avoid unnecessary delay:in. processing -and issuing your building permit.. -No building permit ' w". a -issued until this verification is received. - :-1: I personally plan to provide the major labor and -materials -for constructionof the pro.Aosed .property improvement (yes or no). 2 I (have/have not) signed an a plication 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 - -Contractors-License-No.- 4. 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 `-Licensd-.,: _ . .. 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 Num er / Date 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. M0a t:—All Materials Wgrl:n�anshiyo Ghali Be in Accordance with Recognized Good Practices and cf a quality grescfibe�i'for'thQ Spdclfi, d usvWells e This set of Plans and speci.ficatiens kiU8T he keit on the job -at ail tures it is '►o Vnife-rn Building, Nii mbin . F�1iL and'. 'the National viect and unlawful make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. i c �+ r•` OJ C I • � �>L��a l R Dn/. � 5 c Location of structures equipment shall be as shown &'clear of all easements. ' Sidi Gita V i PRO Ao <1WAP �, Neagh corm . 30 �t0a e BUTTE COUNTY.,,ri*� al oce . BUIL DIN DEPARTMENT --' �- sign P P - V 1 Lit � D H X� � ► n o � oil T � rn 9V XS 9 Lit � D H X� � ► n o � AA, 'Af ;,� 74 J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 2 APPLICATIRN.ANO PERMIT f AS;6 jPS 46.!�J AEL NUMBER iijjvv ZONING BUILDING PERMIT OWNER R.L. YOUNGBLOOA533-3108 TELEPHONE, SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4006 Hilldale Ave,Hill99966 C04dKRACTOR'S NAME PIA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10 00 LIE ER'S MAILING ADDRESS 'f �3 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BWLyJ ri1 ffJAle Ave, Oroville Permit fee $ 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 SF OX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWT 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: eleC ser ch 200 Snip _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 10,00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P y P 1 y ( ) ❑ 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.& /:¢sgft OR ACDNS. ( ACC. BLDITLET NEW RESID.CONSTRANCH CIRCUITS)2,50 ea NON-R ESID BRANCH CIRC ITS POWER APPARATUS&) (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 20@50Q eALO 30 FIXED APPLNS. OR - Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insbre. 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. MECHANICAL PERMIT Filing Fee 10.00 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 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 agaih`i9t �saa dyCounty in consequence of the granting of this permit. X' I %1� Date Ci/— �I t/ 7�- ��eE .-`C Sifg atufe o' ' f cant – OWner ❑ ❑ pp ❑ 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 CONST TYPE TOTAL FEE $ 37.50 HAz I CUA PARK I SCHL I FLO I PAR PD HD IssuE 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 aid. P DIRE ,TOR F PUBLIC WORKS I' By /e 9/11/90 �pat!1 PERMIT EXPIRES bate Receipt No. ' P.W., YELLOW-AS a0 . INK-INSPECTOR, GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;,:,California 959E5 - Telephone:.916/538-7541 APPLICA,FT]JON SND *PERMIT 'PERMIT NO. AS6VI!S[} 6A8§EL NUMBER ZONING BUILDING PERMIT i OWNER - R.L. YOUNGBLOOD TELEPHONE 533-3108 SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 4006 Hilldalt- Ave, Oraville 99966 C[�t.IATRACTOR'S NAME TELEPHONE jj�� CONTRACTOR'S MAILING ADDRESS t f ! Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LEWDER'S MAILING ADDRESS Filing Fee ii�� t Permit Fee $ 10.00 $ ARCHITECT -OR ENGINEER LICENSE NO. I ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $, $ $ B`�}bbI6GIiiifda�e Ave, Oroville Permit fee $ PLUMBING PERMIT Filing Fee -10.00 Each Trap 2.00 y 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 SFnX Duplex❑ Mobilehome❑' Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: elec ser ch' 200 amp _ - Mile Permit -Fee.- $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. ADC'L 100 AMP 2.50 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 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 contra ors. (Sec. 7044) ❑ I am exempt under Sec. ,.Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ACDNS. ( ACC. BLDGS. 2/20sgft NEWCONSTR. ULT' -OUTLET NO N.R ESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS & (SINGLE.OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@80C BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00ct- Misc. Wiring 9 15.00 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): I ❑ 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. No�15t,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 10.00 Heating Cooling g Hood. , 3.00 Ventilation- Permit Fee $ 'Contractor I certify that I havesead 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 aga' sa" unty in consequence of the granting of this permit. X _ Date — Si or •pp ' ant wner Contractor ❑ Agent ❑ An OS per It is Squired 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 - TOTAL FE $ E E HAz CUA PARK SCHL E I PAR PO HD ISSUE 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. . D E OR PUBLIC WORKS gy Date 9/11/90. PERMIT EXPIRES gate /91 ' Receipt No.+ WHITC-O.P. W.,-/ELLOW-ASS INN -INSPECTOR, GOLDENROD -APPLICANT - Zs -3644• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,- 'alifornia 95965 - Telephone: 916/538-7541 APPLICA-HN, AQD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O`OO YO/ ZONING BUILDING PERMIT ( OWNER V, o C4./ r-.> (rA/oo TELEPHONE 533— (Dg SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADS GO �/�� of/!�{ CONTRACTOR'S NAM I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAI LNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 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 SF,Z/Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W O.00e TYPE OF WORK New F1 Addition ❑ RemodelUtilities Installation❑ Other ❑ Describe work: �Lc9"ji �L.. �� �D r� - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD-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 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- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&1 OR ADONS. ( ACC. SLOGS. 2/2¢Sgft NEW CONSTR. ULTI.OUTLET NON.RESIO BRANCH CIRCUITS) 2.50 ea, POWER APPARATUS&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BALD 30 ALoc FIXED APPLNS. OR Ex. Occup. CUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.0 � 00 Permit Fee $ 3 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. MECHANICAL PERMIT Filing Fee 10.00 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. 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 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 CONST TYPE TOTAL FEE $ HAZ CUA I PARK I SCHL I FLD I PAR PD HD ISSUE This permit is hereby 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. l- WHITE-D.P.W.. YELLOW-ASSESSOR, INK-INSPECTOR. GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center. Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMITO. V/ ? --7�) ASSESSOR PARCEL NUMBER 36-292-67 ZONIN.r- . -Ml BUILDING PERMIT OWNER Albert Worley TELEPHONE 533-5594 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6261 Lincoln Blvd. Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C 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 $ BUILDING ADDRESS 6261 Lincoln Blvd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Oroville 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 SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [X] Describe work: B1eCt Upgrade _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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 and effect. License No. Classification EJ 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 ACDNS. ACC. BLOGS. / /z�sgft NEW CONSTR ULT' -OUTLET NO N.RES'D BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(o XTS OR FIXTURES 20050c BAL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RES, D.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15,00 Prt—Insp. 15.001 15.00 Permit Fee $ 52.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. MECHANICAL PERMIT Filing Fee 10.00 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 againit said County in consequence of the ranting of this permit. `^ X Date '-7 - . ature of Applicant — Owner® Contractor El Agent Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures ove'r"3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTALFEE E TOTAL $59- 50 HAz CUA PAR PD Ho ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By --Date PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS rReceipt No. _ ..2�� -D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 4 7 COUNTY CENTER DRIVE `OROVfLLE°CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIQA;,r-110N DATA SHEET 1(1:>oPermit Nn - OWNER A. P. No.3Er�`?� Proposed Building Use 6M //n/..P Building Inspector 01AZ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 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 $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14: Sanitation approval from Health Department 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 /1-9. Driveway permit (construction approval required prior to occupancy) - nspection for required Pre-InSpec.requesito Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation`Insurance .................. f2�,4. 3. Owner -Builder Verification (Given to owner 11,, Mail to owner V) a Recorded copy of Agricultural Acknowledgment Statement ......... etter of signature authorization ................................... oa When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant rvr eId/ll� C' ,y r / r�, Date Copy of plans sent Health Dept., Fire Dept., Other Date 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 Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,•Orovil,le,'CA 95965 Phone: 916-53877541 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) 6*-i/'G 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 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 'Social Security Number Date 3ZIf/576 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. PRE-INSPECTION06 , ER: �%i',�I�SI DATE 9C� LOCATION: /�'JQ C/ A.P. # 40 CONTRACTOR: j(%/1l ZONING A-1 PRE -INSPECTION FOR: DATE TO INSPECTOR ------------------------------------------ PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY f FIELD - INFORMATION BUILDING USAGE: TENNANT _ OCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES [:j HEATED -COOLED PERSON CONTACTED OT4£ NMENTS : 1 � MOT/ e ACTION RECOMMENDED: ISSUE _,_HOLD FOR G4e w OTHER: 10 - BY BY :! DATE���� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 , 7 County Center Drive, Oroville — Phone: 533-7541 z 747 Elliott Road, Paradise — Phone: 872.-6307 - -- CORRECTION NOTICE F„ 4 Inspector Date :' OWNERPERMIT NO. A routine inspection indicates that the following violations of -County Ordinance -< exist at the above address and should be corrected. 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