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068-410-014
� - r�i >`s�•t.:ai°,.3,:�H �� ,.p..r�;l cs ;�^. I,,�r of t . e� i 14 t1 }= t� > �' � , }• r •j. j;4 03-1549 3 4 JJtt��r,jn�}.�.1�s"a7i CARTER, CHRIS NEW SINGLE 0 ROV FAMILY IVt B07-0430 -410-01 068 4 MISCELLANEOUS 1 C f i J 11 Z j ENCLOSED PATIO ADDITION 1 COTTAGE COVE•R SAECHAO,NAIETAL -Irk7 it S E d ! :3"....--.,-. ... ;.._..:_._...__......��..:..,_.�.._..._...,.:.�_......�.....1.._.._..�_.�...�:<_..�.a..F �._,..'..: _........:_.. ,.. -.... .. C:..: ...-_..�-�..-+i.i,..ix.�.t.,...._.�.�...--.a.ar�.a._.�..__w, r.-,.,....:. Wj BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 10 COTTAGE COVE DR Owner: permit No: B07-0430 APN: 068-410-014 SAECHAO, NAI ETAL Issued Date: 6/28/2007 By GLB Permit type: MISCELLANEOUS 10 COTTAGE COVE Subtype: Remodel OROVILLE, CA 95966 Expiration Date: 6/27/2008 Description: ENCLOSED PATIO ADDITION (530) 533-9079 Occupancy: Zoning: A -R Contractor Applicant: Square Footage: SAECHAO, NAI ETAL Building Garage RemdUAddn 10 COTTAGE COVE 452 OROVILLE, CA 95966 Other Porch/Patio Total 452 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Remodel -Residential $714.87 Total Charged: $790.57 Fees Paid: $790.57 Balance Due: $0.00 Receipt No: B2058 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 6/28/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one e hundred dollars ($100) or less.) I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 6/2$/2007 compensation provisions of Section 3700 of the Lab ode, I shall forthwith comply with those Owners Signature Date provisions. X __W .d. 6/28/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, WARNING: FAILURE TO SLRE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby rfify that I am the property owner or am authorized to act on the property own s half. CONSTRUCTION LENDING AGENCY .� `� ' 28/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print ate the performance of the work for which this permit is issued. (3097 civ. code) Mdwner 0 Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name !?4 n First Name Mailing Address l0 GD �j X GQv� 64 / / City d&wl , il state G� Zip S Phone �l0 Fax E-mail IF— CONTRACTOR Name _ �A6 Address - City State Zip Phone Fax E-mail Fax Lic. # Class IF— ARCHITECT/ENGINEER Name _ �A6 Address - City �OY� /l E State Zip Phone Fax Fax E-mail State License Number IF— APPLICANT INFORMATION _ dame _ �A6 Address e Q 7_142 City �OY� /l E State � Zip Phone -r 5o - Fax E-mail ���! APPLI :ANT SIGNATURE X- /Xt _-117,_477 o�,S, 4� 0- (J4 PROJECT LOCATION API U Property Address City 56 tl PERMIT NO. BIN # A6> o WORKER'S CO ENSAT/ON 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. ND/ AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: y5 2 Sq FT- Living Garage Open Cov / ❑ . Structure 13011 without Permits ❑ ProposeA Change of Occupancy` (Note previous use): -1 �D For office use only: Zoning _ Occ. r Flood Zone SRA I Ye th� Type Consi. I t 0uT TF BUTTE COUNTY FEE SUMMARY Printed: 03/06/2007 ° ° 7 County Center Drive, 11:46 am ° e Oroville, CA 75965 ° ° Department, of Development Services • ° Phone (530) 538-7541. Fax (530) 538-2140 a Permit Number: B07-0430 Job Address: 10 COTTAGE COVE DR Contractor: l } Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 03/06/2007 $75.70 > DBMSC Remodel-Residential 0010440001-4210500-1010 $714.87 03/06/2007 $714.87 ' 790.57 $790.57 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature. — = g ..Date: 03/06/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). a L• Butte, County Department of public '.Works J. MICHAEL CRUMP, DIRECTOR LAND_ DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment LESS THAN 1 ACRE Reference Number: B07-0430 Dater 03/06/2007 Location: 10 COTTAGE COVE DR ' _ By: GLB Parcel Number. 068-410-014 Sub Type: Remodel Owner.Name- SAECHAO, NAI ETAL Phone: (530) 533-9079 Description: ENCLOSED PATIO ADDITION By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than -one acre of disturbed soil will require a Construction Storm Water. Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Date: 03/06/2007 . Title: FILE Butte. County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds: PERMIT APPLICATION DATA SHEET Reference Number: B07-0430 Date: 03/06/2007 Location: 10 COTTAGE COVE DR By: GLB Parcel Number: 068-410-014 Sub Type: Remodel Owner Name: SAECHAO, NAI ETAL Phone: (530) 533-9079 Description: ENCLOSED PATIO ADDI,TION . The above permit application has the following Clearances require rior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your ermit application. Yes No DRAINAGE DI RICTS ❑ ❑ Thermalito, Irrigation District, 410 Grand Avenue,' roville CA 95965 - (530) 533-0740 ❑ - ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - 530) 533-2000 . ❑ ❑ Cityof Chico, 545 Vallombrosa, Chico CA 95 6 - (530) 895-4711 ❑ Chico Area Recreation District, 545 Vall brosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9 47 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park D' trict, 1.200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Parks & Recreation, 662 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 3 0 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School Distric 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School Di rict, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ Gridley School District, 9 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ Marysville School Dist ct, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary chool District, 2795 Yard Street, Oroville CA.95966 - (530) 532-3000 ❑ Oroville Union Hi , 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ ❑ Paradise Unified chool District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded cop of Agricultural Acknowledgment Statement- See Attached Instructions ❑ . ❑ City of Bigg Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 . 0 Other:. ❑ ❑ Other ❑ . ❑ Other: Signature of Property Owner:_--;;, , - Date: 03/06/2007 FILE Butte. County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0430 Location: 10 COTTAGE COVE DR Parcel Number: 068-410-014 Owner Name: SAECHAO, NAI ETAL Description: ENCLOSED PATIO ADDITION Date: 03/06/2007 Phone: (530) 533-9079 Signature of Property Owner: 4eDate: 03/06/2007 FILE Butte. County Department. of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. - Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors,.then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLS13(2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. VYEY OR NO) lJ . 2. 6HAVE" 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS . PHONE TYPE OF WORK Description: ENCLOSED PATIO ADDITION Reference Number: B07-0430 Applicant Name: SAECHAO, NAI ETAL Owner's Name: SAECHAO, NAI ETAL / AP # : 068-410-014 Signature of Property Owner: ✓j Date: 3— e<— dl:? COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER f 068-360-116•'AR ZONING " BUILDING PERMIT OWNER CARTER CHRIS -•`- 82 TELEPHONE 532-9568 SO. FT. OCC. BUILDING VALUATION 2181 R 117,774.00 oWN26�CASTLEsCREEK DR. #02 OROVILLE 95966 726 U 11,068,00 CONTRACTOR'S NAM�CASTELE OWNER CREEK CONST) TELEPHONEigo C. 2,470.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 133 312.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 758.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 49-1-00 BUILDING ADDRESS 195 OAKVALE AVE OROVILLE Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 111 7.00 77.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 15.00 Each as water heater or vent 1 15.00 15.00 TYPE OF WORK New 2 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SF W/GARAGE Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 1 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service 2a.A OR LESS 23.00 i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in Oil force and effect. (ja�� CoPOWER License Class Lic. No. Tf OWNER -BUILDER DECLARATION I hereby affirm u der penalty of perjury that I am exempt from the Contractors License he following reason: s owner of the property, or my employees with wages as their sole compensation,Mobile LFw:Il do the. work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I her affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued.. My workers' compensation jpsurance carrier and policy number are: Carrier ���7J& Policy Number O (The above sections need-nofTid'di6mpleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' mpensation provisions of section 3700 of the Labor Code, I shall forth ' cc ly w' ose provisions. X Date 517,2 Xa 3 S ure of Applicant - wner ❑Contractor ❑ Agent n OSHA permit is required for excavations over 60" deep and emolition or construction of structures over 3 stories in heig t. Receipt No. Main Service 200A TO IOooA 46.00 NEW CONST. DW %NG OCCUP. So OR ADDNS. ( a ACC. BLDS. 3.50x. 01.75 NEW CONST. MULTI-OIfTLET NOµgESID, U @7.50 APPARATUS a SIN°LE OUTLET CIq. EX. Occu . oT OR FocruREs BAL p':ao Ex. Occup. DurE°s AE�°ea 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 144.75 MECHANICAL PERMIT Fling Fee 20.00 Heating 1 15.00 5.00 Cooling 25.00 Hood 6.50 Ventilation 4_50 9-00 1 GAS FIREPLACE 1 15.00 15.00 PERMIT FEE $ 90.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 o TY coNsrV TOTAL FEE $ 1732/75 HAZ. ES IMP fLOQB CDF ARCEl D su This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON Y27o.'Sr L. bate) provisions to do work paid. v O T WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECT GOD NRO - T KI rj i t`d fd[KC E i i'i 7 9a 7dM�1� iX�m+�'+� ; ans sf+^ r�ew�rw "s7P�s'9" �1 `9�s � ' � ♦ - f!44a�k f r.d r , COUNTY OF BUTTE -DEPARTMENT O VEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville; CA 9,5965 Phone (530)538-7541 Fax (530)538-2140 PERMITA'1 ' TION DATA SHEET OWNER: �L���! �C� ASSESSOR PARCEL NUMBER (/j (� r 3 Proposed Building Use: AJ A Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. l—T. -Plot plans, 3 or 4 sets, signed�y the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. :7C 4. Engineered truss details and layouts in duplicate. No faxes! ~5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or , foundation plans, all in duplicate. 41 ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other 9 maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 1 . Fees as shown on the attached Schedule of Fees Due Sheet ..................................... St tement of Intent for Non -heated and A/C Buildings ........................... �. ation and plot plan approval from the Environmental Health Department in �p e� 3 City of Chico Plumbing permit ........................................... California Department of Forestry plan approvaNdpaid. 'Sent by: D .................... 19. Planning approval for (A) Use: ® ?Z (B)Parking: (C) Pa cel Check: _ �� ��. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy) 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed fhe above items and requirements for obtaining a building permit. Applicant: „/ {� Date: S/fJ - 1. Index permit application for the above items numb—led: / / Plan Check Letter 2. Additional items re u ed Contractor, design ,.owner was advised cfthe above data y V p one, ❑ mail, ❑ ounter, by\% Date: Contractor, designe wner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: all2 Structural approved by: Date: Note transfer by: — Date: (6Z�—Cly Yellow: Buildine Division COUNTY OF BUTTE ®� A DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 n SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE BUILDING PERMIT FEES Balance Due ....................... $ J Additional Fees Due ............... $ Additional Fees Due ................ $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) "'-SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft'.) ............... x $0.03 = $ aq. n. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x _ $ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. , Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) A.P. # DATE R C IPT # DATE REC. 9. CSA 87 TRAFFIC FEE ' $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was ised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the pl ecking pro APPLICANT DATE 2� Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) Fri COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541 PERMIT NO 96, APPLICATION AND PERMIT ■ �°'" W,i� Nei BUILDINGPERMIT A ;L �� V�� S0. FT. OCC. BUILDING VALUATION Ali -77/4 MCTORT: Wtl1E LL qq�,� _� TELEANDNE /` O S MMUW ADDRESS TRYCUONLENDER Fire lace LENDERS 1ANUNG ADDRESS Total valuation s / 3 and+rtECT OR ENG]NEER ucEWE No. Firma Fee S 2D.00 Permit Fee S - •. ARCMTECT bR ENDNMns MAn M ADDRESS i Plan Cherckina Fee L 00 Bun�wc n _ G2X�L Energy Plan Checking Fee 5 0� 3 - 00 S PERMIT FEE 91,� IDT NO._� SUBDRSKMIS NAME � rAROEL N� PLUMBING PERMIT Ftrmd Fee 20.D0 Each Trap - -- - 7.00 - . O — USEOFSTRUCTURE . R 2 4C. SF� Duplex ❑ M blehome ❑ Other 6P` Solar or heat pump water heater 23.00 Water piping 15.DD .- Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Re el ❑ U6TiGes ❑ Instalation ❑ Other N Describe Work Gas piping system 1 - 5 outlets 15.00 1-5-- .S— Building sewer 15.00 ^� Mobile Home I S I G I W @20.00 PERMIT FEE ELECTRICAL PERMIT Firing Fee 20.D0 Main Service on oR LESS Main Service 20" TO IDOGA 23.00 Q-3 • L' 46.DD • / � / �y`N S'R A S� O � _ Awwo4��� U � "hy NEW caaT: DwELLJNM Docup 3.5CSoI&. OR ADDNS. A AMC. ILDS. NONAMML ML1LTi-0Lln1.E7 @7.50 PowER Avr ~ARUTus Ex. Occup. ounET OR FWnXt3 20 i.m APP Ex. Occup. ovnzn 1PmmOR.) E& 5.00 Temporary Service 23.00 Moble Home Fealities 20.00 Mise. W'uin ` j 23.00 PERMIT FEE = yy MECHANICAL PERMIT Firing Fee 20.00 Heating T D (-iMEMO — Coorin ^ . Do P-" J Hood 6.50 .)o Ventilation/ y S7J 5 -06 ��, v 1S AD P MIT FEt S Moble Home installation Fee S Energy Inspection Fee ` TT TO AL FEE $ 3 24, CEL MD i 65UE This permit is hereby issued under thetiprovisions 01 the Butte County Code and/or Resolusolutionsons tt o do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON V 0 S %5 �VTTE' °0 RESIDENTIAL PLAN ° ` - • ` REVIEW GUIDE o o SINGLE FAAffLY, DUPLEXAND MISCELL4NEOUS ONLY Building Permit Number: 62 �—Z *Plans Examiner: ,L;,7dGt % jP„on A. P. Number: 0 �--F " Ale, e� " �l �,..GEN+ERAL: 1-.0' Zoning requirements — (number of permitted living units). Y Plans signed by the designer. Proper description of work on the application. .e Existing violations on the property. .Y Recorded notice of violation. ",•,e Building permit valuation. PLOT PLAN: Complete parcel size and dimensions. Setbacks. side yard, easements, etc. Other buildings or structures. Grading fills andior drainage. Flood hazard Special conditions on arcel Map: Noise ❑ SRS Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal aid Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) LOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 10% of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear operable width dimension Shan be 20*. When %vindo« s are provided as a means of escape or rescue, they shall have a finished sill height not mote than 44" above the flcor (Uniform Building Code.section 310.4). Sk-ylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise peamitted in ibis section. Kitchens, halls, bathrooms and toilet compartments may have a ailing height of not las than 7 feet measured to the lowest eroiection from the ailing (Uniform Building Code section 310.6.1). All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 feet in any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). Water heaters %%hich depend on the combustion of fuel shall not be installed in a room used or designed to be purposes, bat used for sleeping bathroom. clothes closets or in a closet or other confined space opening foto &bath or bedroom (Uniform Plumbing Code section 509.0). [1) Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as &bedroom. or in a room compartment or alcove opening directly into any of these (Uniform Mechanical Code secdn304-5S Garage firewall separation - required on garage side including supporting walls and posts (Undbtm g Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (Unifor;n Building Code section 312.4). .. Wood Hoye location -Alcove — [lblC section 205 confined space & 223 unconfined space & 301.2). Smoke detectors (Uniform Building Code section 310.9.1). Page 1 of 2 Water closet clearances (Utriform Plumbing Code 408.5). '26. Showsr compartment minimum 1024 sq. in & 30" circle (Uniform Plumbing Code 412.7). ,, Bearing walls shall be supported on masonry or concrete foundations that shall be of suf5c'ent size to support all loads (Uniform Building Code section 1806.3). UCT'[TRAL DETAILS: Braced v►all panels shall start at not more than 8 feet from each end of a braced wall line. Braced wall panels mutt than be in line or offset from each other by not more 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on anter in both the longitudinal and transverse directions (UBC section 2320.4.1_) Braced wall lines must be continuous throughout the structure. - 2. A California licensed architect or registered engineer must prepare a lateral analysis for thea o , the building that do not comply with the Utriform Building Code. This must include the designer's "wet" stamp, signatYu+e, registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets of calculations. Clerestory requiring balloon framing and/or engineering. ,..' Foundation plans complete enough to construct building (Uniform Building Code Table 18•I -C). 5. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. construction details complete enough to construct building. T laee construction details and calculations if necessary. ge door header size(s). h header size(s). cal header size(s). eights. xpansive soil — special foundation design required. gcalls requiring design. mwallboard nailing inspection required.area below the lowest floor is fully enclosed, than a minimum of two openings arc required With a total a of at least one square inch for every square foot of area enclosedwith the bottom of the openings no han one foot above grade. Alternatively. certification may be provided by a registered professional eer or architect that the design Will allow equalization of hydrostatic flood forces on exterior calls. ing must be designed and anchored to prevent floatation, collapse or lateral movement. Construction requirements must be shor�•n on the building plans. ic, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be designed and/or located so as to prevent water from entering or accumulating Whir the components during conditions of flooding. NMCELLAT7EOUS ITEMS: Stairway details— landings, rise and run head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). . ,Bricks or stone veneer (Uniform Building Code section 1403). . Euaior plaster— weep screeds (Uniform Building Code section 2506.5). Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2, 15-D-1 & 2). Foam insulation — protection. 36" halls and stairways (Uniform Building Code section 100.4.3.3.2). Taro exits on three — story dwellings (Uniform Building Code section 1004.2.3.2). Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). . Attic access and ventilation (Uniform Building Code section 1505). ound requirements. ergy design compliance and supporting documentation. • CD F responsible arra requirements. UILDING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation certificate. 3. ❑ Fin Sprinklers required. 4. ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lener. Pace -- . f . ' p�r�� � : •.' IIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIII " 2004--00 1 1 692 AND WHEN RECORDED MAIL TO: , Recorded ! REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION R Official Records I COPIES 2.50 7 COUNTY CENTER DRIVE - +' County Of OROVILLE, CA 95965 BUTTE CANDACE J. GRUBBS Recorder I s ,.• ROSEMARY DICKSON Assistant I Kathy '.10:01AM 02-Mar-2004 I Pa9e I of 2''4 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT. Section 26-8 of the Butte County Code required this acknowledgment to. be recorded prior-to issuance of a building . permit. The,property described herein is•adjacent.to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing; spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm' operations. , All that real property situate in the County of Butte, State of California, described as follows: SEE ATACHED.LEGAL DESCRIPTION DateMARCH 1, 2004 • PROPERT,Y_,OWNERS: 1 �S SAMA THA LEE CARTER Stateof California ) County of rti Ui L > O 7 before me,. personally app ared ' �' personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged tome that'he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITN SS my'hand and official seal. Signa a i, ti�~ �� �_ ' ANGELA D. MASTELOTTO Commission #1381124 2 �� Notary Public - Califomia A.P. Ln �a�-�=—� �' ' U Butte'County 4.My Exp. OCT 22, 2006 Preliminary Report Order No. BU -206193-3 AM Description The land referied to herein is situated in the State of California, County of Butte,, and is described as follows: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1978, .IN BOOK 68 OF MAPS, AT PAGE(S) 57 CERTIFICATE OF CORRECTION RECORDED. OCTOBER 30, 1978, IN BOOK 2339, PAGE 288, OFFICIAL RECORDS. APN 068-360-116-000 ; PARCEL II: A NON-EXCLUSIVE EASEMENT FOR THE CONSTRUCTION AND MAINTENANCE OF A SANITARY SEWER. SAID EASEMENT TO BE 12 FEET IN WIDTH, LYING 6 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED LINE: - COMMENCING AT AN ANGLE POINT . IN THE SOUTHERLY AND EASTERLY LINES OF PARCEL'1, AS SHOWN,ON THAT CERTAIN -PARCEL MAP; RECORDED INTHE OFFICE OF THE . RECORDER OF THE COUNTY OF BUTTE, STATE OF' CALIFORNIA, -ON OCTOBER 24,1978,* IN BOOK 68 OF MAPS, AT PAGE(S) 57, SAID POINT ALSO BEING THE NORTHWEST CORNER OF THAT CERTAIN PARCEL DESCRIBED IN, DEED FROM MATTIE' R. LUND AND IRENE LUND PARKER TO.OROVILLE SCHOOL DISTRICT, RECORDED MARCH 31, 1965, IN BOOK 1366, PAGE 64, OFFICIAL RECORDS; THENCE EASTERLY ALONG THE NORTH LINE OF SAID 'OROVILLE SCHOOL DISTRICT PARCEL NORTH 880',32' 07" EAST, 55.34 FEET TO THE TRUE POINT OF BEGINNING; THENCE FROM THE `TRUE POINT OF BEGINNING, ,NORTH 187.61 FEET; THENCE EAST, 425.41 FEET -TO' --THE EASTERLY LINE OF SAID PARCEL 1 AND THE END OF THIS EASEMENT. . Page 5 4 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX August 12, 2003 Castle Construction 26 Castle Creek Dr. 902 4 Oroville, CA 95966 Assessor Parcel Number: 068-360-116 Building Permit Number: 03-1549 Thank you for submitting the plans for your building project. The plans have been reviewed, and .' the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning,the enclosed PLAN REVIEW RESPONSE FORM. Your complete and c ear response will expedite the re -check and approval of this project. N N -STRUCTURAL COMMENTS: Show the location of the HVAC equipment on the plans. If the furnace is in the attic, provide a truss detail that allows the extra loading. STgk<TURAL COMMENTS: + Plans were provided for both a slab foundation acid, a raised floor. Please revise the plans to sbow only the foundation system that you intend to construct. Prime Source 2500 Series floor joists are not listed in my. "User's Guide." Do you mean PJI 2095 series floor joists? Please clarify: If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours ' of 1:00 p.m. and 4:00 p.m., Monday through Friday.' To discuss non-structural items, ;ask for.. Linda. Philo will answer your structural questions. Please refer to your Data Sheet for -remaining non -plan check items.. (You received this form when you applied for your permit.) The counter staff,will answer any questions concerning the DatJShe Linpson Philo Hunt, P.E. ' Plans Examiner . Plan Check Engineer. fi _ SITE PLAN REVIEW APPLICATION Date: —29— AP.# Q ) I LP Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: Owners Name: LP 12 C Owners Address: Gr2.6 Z 9°SSJ6 (o Telephone. No.: Situs Address: a , Proposed Use: Residential New Single Family Residential 1 ❑ Single Family Addition Y. ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory , ❑ Permanent Second Dwelling F ❑ Temporary Mobile Home (Aunt Minnie) ❑ TemporaryTravel Trailer ❑ Multi -family " Non-residential r _ ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ' ❑ New Industrial ❑ Industrial Addition ❑ ' Industrial'Remodel " Other. ❑ Septic ❑Well 'n ❑ Agricultural Exempt Building ❑` Other: ` `Brief Explanation' (if necessary): DO NOT WRITE BELOW THIS LINE , DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved❑ ,Conditionally Approved E]Resolve Problems Prior to Approval Site Plan Stamped Approved :. By `P Date Page 1 of 5 Q i ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: x • Flood Panel No.: I o 2-S Index Date: L) ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------ ------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A —? Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 5 3 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: ' Standard Fees Amount Formula ❑ Fire 4 ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff , ❑ Drainage ❑ NCSP/CSA 87 ❑ . Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other - ------------------------------------------------------------------------------------------------------------------------- Subdivision, Map Special Fees ❑ ,.Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created BY Deeds: Date of Creation: Legal Access Provided:❑ No. El Yes Deed of Reference: Legal Access Required ❑ , No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Decd Creation:❑ No ❑ Yes Comments: ., ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 N dT' SOS v-,1 -77E � T' 2--)10 Subdivision Ma/Parcel Ma� : C;oTs 6 �� Map Date of Recording: Lot: y ❑ Use Permit/Minor Use Permit Permit Number: Book: 68 Page: 3 tP Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. C' Page 4 of 5 Summary of Specific Requirements: ' 1 This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per. Building) School District O S� Building Department No. _ r A.P. Number �� �D ��(� Jurisdiction:. City County ' Property Owner Property LocatioNAddress �� Subdivision Lot No. Residential Development 0 (Floor Plans.reviewed by School. District Personnel) ...................................... ............................................................................. Sq. Footage No'of Living Mobile Home` Addition/'Supplemental to (Group R) P ...nits!-- nrts , , r... ��.Installabon � I f Conversion ..:.,Permit#__A_.. ti ' s y - .................................... Noifoundation ins ......... ( ................ ... pectl0n). Y Y I ..�.. Y f t Commercial/Industrial `(Applicant) Sq. Footage New Addition (Including Exterior ! (Street Address) Roofed Areas) (Phone Number) f 03 Building Departme t.Representative v Date School District Paid by Check # Remarks: b Date a Notice: `You may protest the imposition of the fees identified above by submitting' a written protest to the District; incompliance with 4;. Government.Code Section 66020(a), within 90 days from the date fees are paid Failure to submit a timely written.protest kill, prohibit tt you from challenging the imposition of the fees in any court action.•'>"' If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification form; the School District is r f notified by the applicable Local Planning Agency that this project is. being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/98)dmm 0 (Floor Plans.reviewed by School. District Personnel) District Identification No. M1 School District thatY'. " C.9 C•rvtiSiy �\' certifies t P `(Applicant) (Street Address) (Phone Number) A (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ t{, I. b 1. representing ,. ; i.,. !square feet -a ) , ,"_ r t B,292ti.1 _------" FULL MITIGATION 1 $ a t School District Paid by Check # Remarks: b Date a Notice: `You may protest the imposition of the fees identified above by submitting' a written protest to the District; incompliance with 4;. Government.Code Section 66020(a), within 90 days from the date fees are paid Failure to submit a timely written.protest kill, prohibit tt you from challenging the imposition of the fees in any court action.•'>"' If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification form; the School District is r f notified by the applicable Local Planning Agency that this project is. being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/98)dmm 0 CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVIL"LE AREA PUBLIC UTILITY DISTRICT hereinafter referred to as "Applicant", being the property owner or owner's agent desiring sewer service, hereby requests Lake Oroville Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage disposal line to District's sanitary sewer system and to provide sewerage service. Location of property: 195j A.P.#:_ Subdivision *,�Ck u e �A Low; 3 __ BIocK#: ® Property Annexed _ ❑- Property Not Annexed No. of E.D.U.'s this permit: 1:3Property Annexation in Progress Multiplication Factor: Kind of Service: 'Monthly Charges: S�O y ®'Residential Capacity Charge: ® Residence Of Owner en [] Rental (single family) rVSonnectionFeeRental (duplex) ❑Apartment- ❑ Industrial COR Facility Charge: S0 ❑Commercial Total Amount Payable This Permit: 3 o23g ❑ Site plan reviewed ❑ Jobsite reviewed The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board. of Directors.of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are established by istrict from ti a to time: igna ure of Applicant Name of_Owner_if_nnr_nnr%r,�.,. - ♦ n• '� i '� 't i ` ' . lau� �t'..' ; .,''M:.: .r»'�t�i� . a ,� � +�'+ - ._ �,.w• r.. �..+ a of r s 41, jam.,) v � , . ' ' y y ` - l . a . » � ..- •� �,., ] _ «.... `.��y..".''.'.. \ - .. �... ......w .. A. �� T„j"' J �y: r �..� 'M1� `h�a t j`r � .. z i t y f,� ( w . . r• �t��� t1�.� �' E'�� ,+ � •! � • + .i � . _ � [y.,• y ,. a �. �' � !� r•tH t.. '�i 4. 7�5j1,.'(:. ,.' .l%�, i• � - ' NOTES ,t -2Lg CLl p 4z - PERMIT NO. y� S * RESIDENTIAL 068-360=116 03-1549 .CARTER, -CHRIS * -- - -- - 195 OAKVALE AVE, OROVILLE NEW SINGLE FAMILY / X/% 5//�/e SPECIAL CONDITIONS CHECKED BY RA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS { VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ' Signature J=OK 0 = Not UK s = Not 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11.. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch ' 11. Cert. of Occupancy Date ..Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term inals=Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns=Connections-Splice- Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses. 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11.. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term inals=Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK - =Not Applicable Ap . = Not Ready RESIDENTIAL Date UND LOOR (Plans) OK except #'s 't--Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold D wns and Special Anchors Sla teel-Wrapped 8. ers-Fire lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 1-17,117 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM G (Permit) OK except #'s er Htr.; V ccess-Combustion Air Baffle r 0ater :i st nchor-Nail Protection �r- 3 ; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire_-SpaakIer• Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date BELE ICAL (Permit) OK except #'s re & Transformer 85! c. Receptacles Spacing -Lights & Switches at Doors ge e Boxes & No. of Conductors Stapled ex Installed Close to Edge of Studs & C.J. 2VEgWp. Ground made up w/Mech Fasteners -Bond Gas & Water liance Circuits in Kitchen & Conductor Size I Wire Size/ / a. Cu or AI-A.C. Wire Siz " / C or Al W. Range Circle// /g r AI -Oven Circ. /, ga Cu or Al Insulated Ne al 0 Yes -8E-.-�rvice-Riser Conductors & Ground Main Disconnect 3 . ui . Clearances Panels-Motors-Mech. Equip. 34' CI hes Closet Light -Shower Light -Spa Light 35elgmoke Detector Dat <, 0 Card B-1 uU , Date Card B-1 Date Card B-1 Date Card B-1 Date MECH NICAL (Permit) OK except #'s A.C. Ducts Insulation & Support Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet AW -Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s &;V'Sills Proper Materials & Anchors 4?/Walls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 5 ( 0 raft Stop in Walls (rat proof) ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 0"eaders & Beams -Size & (Single & Duplex) Date �614, Oy I&-QZjWCling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 i eplace Ties or Type A Flue -Fireplace Throat Clearance is Access; Size & Romex Protection -Draft Stop -Ins. Baffles �6m. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 5 II & ODeninos &A—Ext-lDoors-One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection /(56 --Pt Wood on Roof Overhang -Attic Vents -Rafter Outriggers Veneer )rip Screed -Fd.. Area -Glass 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulatio -Zi -512924y.,�j,( 63. Infiltration--Wa(Is-Windows ' Dat �' 0 L J Card B 1 Date Card B-1 DatCard B-1 Date Card B-1 Date FIN/J.(Plans) OK except #'s 5LSteps-Door& Sidelight Protection -Landings Smoke Detector urnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection }Adrom Exiting _I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 7 ai s 71. Hearth Elec. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance CZA-15jeG. Outlets & Receptacles at Kit. Counter . G e Fire Door; Swing -Landing -Closure A.0 t in Garage -Damper tr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. it rage; Above Floor-Mech. Protection PIS• Elec. & Mech. Equip. Listed for Location IeS.Receptacles in Garage (F.F.I.)-Romex Protection SO -Foam -Looked in Attic 81. _s ruction -Post Caps '82. Be od-Earth _ Clearance Looked under Eleor ❑ Yes 83. FOII9W4no Instld./Drive s O NoMalks es O No/Planters 0 Yes 0 No- 8,%,A it Disconnect, Electrical -Plumbing enLs_Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8fi/Exterior Elec. Trim, G.F.I. Receptacle -Underground Ue-Ventilation Throuqhout House Qe,.Glass Protection orrec ' ns from Previous Inspections as Teeters Tagged, Gas -Electric V/Wate.�"ewer Connected -C/O to Grade -HD Approval 9 ner pliance Certificate -Other Certificates 9&—Ad—dress Posted Bard B-1..C)YW Date Card B-1 Date G f "Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center'Drive e Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT ' O. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please tach this office immediately. ease c '71 n FM 02/12,12003 16:5 FAX 707 864 5726 PRTMESOURCE ` ti " 3 1 001 AP r X;.WV C erti i cate. f . x�f�x- ance�. r. Certificate -O.5 2'6 6 2 _ 1 t THIS IS TO CERTIFY that the glued laminated timber products identified with a col ectiJe mark of. Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-19?2,:For.Wcod,Prouucts -.Structural Glued, Laminated Timber NER-486 Glued Laminated Timber Combinations-And "GAP" Computer Program For Determining Design;Stresses AITC 117-93 - Manufacturing. -•Standard Specifications For Structural:...- Glued Laminated Timber..Of, Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in,accordance with the Engfneere;i ` W&bd Systerns-(EWS) Quality Assurance Program. Routine audits include inspection of the m.nufacturing process and evaluation. of the .in-plant QA program with adequate sampling to verify r conformance to industry_stantlards for lumber, grade and glueline bond quality. 'o,•�10 W 0 00 o+++ J'A ioCp 00 f- -V Thornas G. Williamson CO Executive Vice President ++�+ #S y ,N` ENGINEERED WOOD SYSTEMS is a rela,ed coroora;ion of APA THE ENGINEERED WOOD ASSOC1ATrON 7011 South 191h Slreet a P.O.Box 11700 -Tacoma. WA 98411.0700 Telephons: (2531-:95.6800 Fax Number: (253) 5135.7265 { 05/13/2004 THU 12:01 FAX 530 894 2475 CHICO INSULATION Q001/001 .I N5r UL A T/ON: t C: 17=13 Valley Court e Chico, CA 95973- (530) 894-5067 -.Fax (530) 894-2475 TO c.s t- (e! C::.�� t_ Project Title Address Town Phone Cell ycZ`Mail We propose to supply all material, equipment and labor to: _ tf-it�salati> X. Insulate exterior and knee walls with R- 2 I. .aced batt insulation. I itis, atien. Ir►s ii# li ir�gspace abe�re wig-R-- unfaced batt insulation. x. _Insulate interior walls @OL.rth. R-Jimiaced batt insulation. • _._ X Insulate ceiling areas over living'areas with, R- �-•faced batt insulation. � c•.',� r .X Insulate the attic areas over living areas with R-j blown in loosefill fiberglass insulation. Seal penetrations in air infiltration system with foam sealant. Alternate #1 add to base bid Alternate #2 add to base bid • Alternate #3 add to base bid , Alternate #4 add to base bid Base Bid 131..4,.:. Price good through Proposal Accepted By: , n Chico Insulation date License # 792349 •F• n i .�, �; ..: date This proposal is based on current market pricing, If not accepted within ten days noted above we reserve the right to rebid the project. r The terms of payment for Chico Insulation are NET 10 DAYS. If not paid in full within 10 days, interest at the rate of 18% per annum (t -1/2% per month) w 11 accrue from the date of billing until paid. COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/56) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 068-360-116 ZONING AR BU I LD I NG P ER M IT OWN EWM GARTER, CI�RTS *82 � TELEPHONE 532-9568 SO. FT. OCC. BUILDING VALUATION 218p1J R 117,774.00 OWN S MILING ADDRESS X16ACAS I1.E CREEK DR. #02 OROVILLE 95966 726 13-,068.W CONiR�AC�T�OR�'SpNAM /���+r�r��{ � �p�� �T��+ �JfMI\ M (�af1a711�LE 4L�l:�i:+t� CWS • ) TELEPHONE2,470.001.90 C CONTRACTORS MAILING ADDRESS " F CONSTRUCTION LENDER f. Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 133.312.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 758.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 493.00 BUILDI1 ES (9Z5 Rnergy ALE AVE OROVTLLE 95966 E Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1294.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 -00 USEOFSTRUCTURE SF m Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 111 7.00 . Solar or heat pump water heater 23.00 Water piping 1 15.00 155.00 Each as water heater or vent 1 15.00 15.00 TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SF W/GASRGE Gas piping system 1 - 5 outlets 1 15-00 15.00 Building sewer 1 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 157.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service q OR LESS 23.00 Z3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r° ; A. License Class A M" Lic. No. _196) --. �7 IA / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawf�the following reason: © I--, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA TO I000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 1 ACC. BLDs. SO 3.5� 101. 75 NEW CONST. MULTI -OUTLET NON-RESID. c @7.50 POWER APPARATUS a SINGLE OLmtT CIR. Ex. Occup. OUTLET OR FDRURES BAL @';50 Ex. Occup. GuTFIXED APP °Eq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 144.75 j:.. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the• performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 9' Al % 4 MECHANICAL PERMIT Fling Fee 20.00 Heating 1 115.00 15.00 Cooling1 25.00 25 00 Hood 1 6.50 6.50 Ventilation 1 iii. 9.00 1 GAS FIREPLACE 1 15.00 15.00 PERMIT FEE $ 90-50 -..j Policy Number ,,w{ - (The above sections need not°be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workersrpernpensation provisions of section 3700 of the Labor Code, I shall forthw th comply with those provisions. X Date " : fir% Sirature of Applicant - Owner ❑ Contractor ❑ Agent/ Y /n OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heigFV RBy Mobile Home Installation Fee $ Energy Inspection Fee $ 6.00 D CONST TYPE N, TOTAL FEE $ /S Hqz � ES IMP FLOOD' VT` CDF PARCEL w / This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have /t/f/'' 'Y `�T PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. r/%` lie -r �.� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTOR',H GOLDEN80APPLICANT