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HomeMy WebLinkAbout069-310-009Robe G. Sequeira 6383 So. Fork Ct., lot 428, KRAC, Oro. Permit #436-82B,P,E,M(new single wt family) 9-31-9 Permit#1053-83B(lst- enewal/436-82) voa /" 69-31-9 Pe%mL '#3913-83M I eat pump for #436-82) J �-310-009 4080-90 q` SEQUEIRA, Ro.bert a3�q� 6383 S. Fork'Ct.,, Orovill (Conv. Cov. Area to Entry Hall Area) 069-310-009 PERMIT#95-1682 SEQUEIRA, Robert 6383 South Fork Ct., Oroville f Gas Line/SF 069-310-009 PERMIT#95-2179 SEQUEIRA, Robert - 63.83 South Fork Ct., Oroville_' Heating/SF //�y 069-310'009,'x. '' PERMIT#96=0042 SEQUEIRA, Robert ,;6383 South Fork Ct, :Orovi le - Gas Water Heater/SIS f 69 310-009 01-0490 SEQUEIRA, ROBERT & MIRIAMO 6383 S. FORK CT.�' ,V,�LLE3 j D CONT: OWNER /U�Ii� vl ADDITION / BASEMENT CON ER Y or 'NOTES RESIDENTIAL 069-310-009 01-0490 SEQUEIRA, ROBERT & MIRIAM 6383 S. FORK CT. OROVILLE CONT: OWNER ADDITION / BASEMENT CONVER k 11 SPECIAL CONDITIONS --A SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date :Signature CHECKED BY ./ = OK 0 = Not OK = Not Applicable Not Ready 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;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 10. Date Date Card 13-1 Date Card B-1 Date Card B-1 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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting. -Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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) AP ' - P ---. LICATION ANDPERMIT 01-0490 ASSESSOR PARCEL NUMBER ZONING 069-310-009 BUILDING PERMIT OWNER TELEPHONE ROBERT & MIRIAM S UZIRA - SO. FT. OCC. BUILDING VALUATION 0 R 2700 • OWNERS MAILING ADDRESS 6383 S. FORK Cr. OROVI= CA 95966 450 U -R 9000 CONTR�A7CTTO�RT'S� NAME OWIN A TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 11 700.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 87.75 BUILDINGADDRESS 5383 S. FORK C.T. OZOVI= Energy Plan Checking Fee $ 23.00 $ / PERMIT FEE $ 265.7Y - LOT NO. SUBDNISIONS NAME PARCEL MAP /PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition IX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 6 x 10 ADDITION & BASEMENT CONVERSION Gas piping system 1 - 5 outlets 15.00 B Uilding sewer 15.00 Mobile Home I S I G I W @20.00 / PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ,,AOoRR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall h comply with ose provisions. Date " �3" Signa a of Ap i wrier E3 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. ( DWEwNG OCCUP. OR3,5¢S�O' 7.50 AoC�� MU OUTLET NON.RESID. @7.50 POWER APPARATUS a SINGLE OVn.ET CIR. Ex. Occup. OUTLET OR FxrURES p o 1.00 BAL O .S0 , 5.00 Ex. Occup. Dins Ao OF Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 37.50 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 344.25 HaD. FEES IMP FLOOD COF PARCEL Po HD I ISSU This permit Is hereby Issued under of the Butte County Code and/or 1ndicat d bove for which f shave f. y PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Q ate /3 v 3 t?4 to Receipt No. WHITE-D.D.S.-B.D. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i $'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION t 7 COUNTY CENTER•DRIVE ; OIROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 �,-„ ems;..,. '` • � --t 1 �'" r �M PERMIT APPLICATION DATA SHEET w• OWNER: ~�.Proposed Building e: At time of peAnit application, I was ASSESSOR PARCEL NUMBER:�— Building Inspector: Date: following data must be submitted prior to permit processing an or issuance: e 1., 4; / Date Received By ❑ All items ha ie been submitted.------------=; ,:--------------- -------------- .----.;-------------------------- 2 Plot plans, 3 ets signed by the preparer of plans. -----------------=------,------------ -------------------- c f . Complete pl' ' 3 ets, signed by the pry arer of plans. ---- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ . Engineer`ed;truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 1 : 'Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7 , Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8 "Hazardous Material Form. --------------------- ------------------------------------------------------------------- ❑ . Manufactured Home data and installation instructions including Tie Down Specifications .-----`--------------- 0. Fees of $ '------------------------------------------ ------------------------------------------ Impact fees as shown on the attached schedule.--�-��------------------------------------- ❑ 12. California Department of Forestry -plan approval/fees- --------- ------------------------------------------------ 1:1)3. ----------------------------------- ❑ 3. Flood elevation certificate. ------------- .i ----------------------------------------------------------------------- - 4. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico,plumbing permit. ----------------------------------------------------------------=------------------ ❑,16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------- 0 --------------------------❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel: ----------------- —=--- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- r ❑20. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contracibr;s license information. (Number, Name Style, Classification). ------------------------------------- El 22. ------------------------------------❑22. Workers' Compensation carrier and policy number.----------------------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------ ;------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------------- ❑26. Letter of intent on building use. -------------------------- ----------------------------------------------------------- ❑ 27. Manufactured Home utility clearance.------------------------------------------------------=--------- --- y E128 . Existing violations and/or ex pired permits.---------------------------------------------=------------------------ 029. ❑433 A, ❑Grant Deed; ❑ M.H. Title, ❑ Check to H.C.D $ i . --------------- 4030. Other: --------------t❑30.Other: ---- you issue a follows ❑ Mail to owne4Mcoor. lephon % and hold for pickupaoffice_ ❑ Deliver with inspector., Copy"of Haz-Mat form sent a Health Department, o Fire Dep olltition Date: i �By/• Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: C ' By. 1. Index permit application for the above iteems,numbered: ❑ Plan Check List 2. Additional items required: "I,• Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: :Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: j 9(2 Date: ) 3 0 Sets of plans on holdjn ❑ Plan Cabinet ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 0, School District G711 A.P. Number vl-- 6 Property Owner A Property Location/Address; Subdivision Residential Development BUTTE_COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. ' urisdiction: CI ®County DL--LZI�! Lot No. 0 No of Living Mobile Home Units Installation building Department Representative 11 (Floor Plans reviewed by School District Personnel) District,ldentification No' School District certifies that IJ (Applicant), 10 lRoofed Areas) l /I of 0 ~Y (Sire Address) (Phone Number) C101 9�g� (City) (State) (Zip Code) has complied with the requirements.of Resolution No. 9 9- oe—, by payment of $ representing %5-b U square feet. AB 2926 $ i FULL MITIGATION $ School District Representative ! A Date 11 Paid by Check 11 i Remarks: » "aw 21- t�-2- lef � r Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit 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 notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), IYellow (building department), Pink (school district) feeform.xls (10/98)dmm 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller California 95M a Telephone (530) 538-75,4 O EaMrr No. (Rev. 12/96) APPUCATION AND PERMIT 01— " asseeoaa�earar.°' � aD1q BUILDING; PERMCT ' SO. FT. OCC. BUILDING VALUATION U-12 WAM *man eor�raicraru000� Fireplace ��aqa Total Valuation = 1-7 TOlt aooa0► LNO Filina Fee 20.00 Permit Fee AACW" r ON V$WURT waxro nom 6. Plan Checking Fee t ai0A0°"s" Energy Plan Checking Fee t a� i PERMIT FEE _ �cTNa sueavranrwe rMaL w► PLUMBING PERMIT Filing Fee20.00 USEOFSTRUCTURE SF `] Duplex O Mobilehome 0 Other Each Trap3 7.00 02 , Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Now 0 Addition Remodel W4U*C3 Installation 0 Describe Work: a JA I a). C�Y1 Other 0 Gas piping systern 1 -5 outlets 15.00 Building sewor 15.00 Wble Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service23.00 *PERMIT FEE PAIb $MECHANICAL SRA ' ' $ SHERIFF $ OTHER $ $ $ AMOUNT RECEIVEb $ a J t fj� *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Main Service tem► To too" 46.00 oe Cope °Ma .wee enc 's 3.5c -FT 1 7, woaro.' �uurov+ttr @7.50 rower a►rw,�Tu a nar Ex. Occup. ouow rman SAL • Ex. Occu ov M ago. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ! Msc. Wiring 23.00 1 PERMIT FEE = 2. PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: f Mobile Home Installation Fee = Energy Inspection Fee ti occ 11T.11 TOTAL FEE $ wz. a firs rr I n000 I cornaca ►o .o au This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date _-- PERMIT EXPIRES ON 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES V4 NO[ ]. I HAVE[ ] HAVE NOTrV*-,J signed an application for a building permit for the proposed work. I have contracted with . the following person (firm) to provide the proposed ADDRESS: 6.,2:!5�:2 LY. r CITY: c!/ PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following -person -t0- coordinate, tocoordinate, supervise, and provide the major work: NAME: ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: :5 NAME ADDRESS PHONE TYPE OF WORK-' . •r DATE• )- * ,_f — Q NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, 'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an""ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned: Sincarel Michail C. Vieira, C.B.O.: ; $ Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER LJB r> T e�Ac � v 89'29'.37"= 81.38' JI ° l A�,T/a� i mo ee \ �� LOT UNI T SsT-r3ACi< A S..)tback of 41t. from the hrc+,nert;� lints and a setback of 5i� t. fr.;,rn t ;c, r d F; clear of structures or ,equi-pinnent except - tor a 2 ft. eave overhang. SC..L.- I"=20' --- 0 '� S4 013,2 — SPU.:._Ef:1�5/EMENT q - `�\�i R= So' �! L-47.32' SO UTH�•\ _F_02K COU �G 0\ This set of plans and specificotions MUST b'e i kept on the iWb at c;,' ti'^.rs rnd. it is un;cwrul rrc"•, or =.It,r- Fi=ns dr some without wriffen pnrrn*sion from tahe Departm"o of Public Works, County of Butte. MICHAEL MOONED' 5AM4DRovEAVE. CIVIL ENGINEER OROv1LLE, CA 95966 RCE 20647 (530) S33-2131,FAY-534-0902 Butte County March 13, 2001 Development Services Department Building Division 7 County Center Drive Oroville, CA 95965 Re: Robert Sequeira Apn 069-310-009 I have reviewed the foundation for the gable end wall as shown on the drawings. Being a non-bearing wall the loads are minimal and in my opinion the foundation represented is adequate to transmit gravity loads. The new concrete was doweled into the. old with #4 rebar dowels which in my opinion should be adequate to transmit lateral loads to the foundation. Thank you for your consideration. Yours, Michael Mooney My license expires 9-30-01 ..BUTTE COUNTY AJUIL ING ®EPARTMENy APppovE B gUILE 0 .. .3Y2. ) COQ DEPA /N 5L-'1, /i --r/ o Z /-/&, 9Ek -- Z)X6 x j 01 14x g" O � I Dly. PM'�- o glo n Ocwe-S 7L �.�etj ' „vGoj4 pt M(/D SILK ��w •.�; 7. 7.t V, pII. . .-. m i"'y"w- el MI -7 7,d -.If mi y C-0 1 �I®C� d �W.idVd3d SNIG I ®1 FII.i s�Ma Lj rY/—L 5 0 rn Z V- r � F PERMIT NO.436-$2B,P,E,M �•' PERMIT EXPIRES OWNER Robert G. Sequeira CONTR. owner l ASSESSOR PARCEL 69-31-9 LOCATION 6383 So. Fork Ct., lot 428, KR#4C Oroville �t 3 �Os3 ' . rwT��- C, Temp. Power Pole r'. Called PG&E ="Jemp. Elec. Service Called PG&E S• ?; wTemp. Gas Service 4!• Called PG&E p / V JOB,iFINA_LED (Date) Signature r V = OK <� 0 = Not OK 4r" ,,.'i► - = Not Applicable MdAREHOMES = Not Ready j; V MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements - Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth_Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L" ft./ /"Nat. or/ /"L "ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date ' POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date - Card -BI Date Card -BI Date Card -BI Date B • � � G t r V=OK O = Not OK — = Not Applicable RESIDENTIAL )Single and Duplex) = Not Ready Date UNDER OOR Plans OK except #'s Date FRAMING (Continued) 4-:-'1on_N requirements—Setbacks—Easements 48. fmperty Line Firewall & Openings Main; Soils—Steel—Elec. Grnd.— tg. Depth Ar Ext. Doors—One 3'—Check Garage -3rd story, 2 exits arage;.Soils—Steel— / " Fig. Depth 50. Stairs; Width—Headroom—Rise—Run—Landing—Fire Protection ,,*_-4. Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth il,-15'rywood on Roof Overhang—Attic Vents—Rafter Outriggers �•(4 Stemwalls, Main; Steel—Blockouts—Wrapped—Slabing—Nailing—Veneer S� Stemwalls, Garage; Steel—Blockouts—Wrapped—Slab 53 S. r__.�^^^ UaA—Drip Screed—Fdn. Vents—Underflr. Access Piers— lazing Area—Glass Protection—Skylights—Plastic 8. D.W.V.: Fall—Fittings—Test-2 way C/0—Sewer Test 55. ailing—Bolts Ba' Y l�yL 9. Gas Pipe; Size—Anchors )WQ0. Water Pipe; Test—Anchors—Regulator—Service Test 1. Electric; Underground Plenums & Ducts; Clearance—Material—Support—Ins. Girders—Sills—Anchor Bolts—Joists—Vents—Cripples (Lard BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI ateeF S, rd -BI Date Date FINAL (Plans) OK except N's Card -B te,s /o'-- and -BI Date Date PLUMBING (Permit) OK except q's 5 . • St Door & Sidelight Protection—Landings o e Detector _ 14. Water Ht.; Vent—Access—Combustion Air 58. Furnace, s—Clearance—Comb. Air—Connector— ara Above Floor—Ducts—Mech. Protection ate ipe; Test & Anchors—Nail Protection 1� �W'4.; Test—Fttngs &Anchors—Nail Protectionedroom Exiting Shower Pan; Test, First Floor—Tub Access . I & Bath Fixtures &Tub Access 18. Test Tub & Shower, 2nd Floor—Tub Access 6J• rim Subpanel; Breaker Sizes—Labels 19. Gas Pipe; Size & Anchors 62p S ails 63. F+eptan or Stove; Clearances -Hearth �O / 64. Outlets at Wood Panel; Int. & Ext. C I Dat % Card -BI Date & Appliance; Grn ookin Clearance C r ate —1 Card -BI Date — •u ets & Receptacles at 1 . User Date ELECT AL Permit OK except p's ire Door; Swing—Landing—Closer 68. Fixture &Transformer Clearance—Ins. Protection r.; Vents—Ch nce-C" Connecto — `y In Garage; Aboye.F•t000r—Mech. Pr Receptacles Spacing—Lights &Switches at Doors ZQi „ E "-Mech. Equip. Listed for Location 22—et ie- 2 e oxes & No. of Conductors—Stapled 7 ec. Rece to _in Garage; (G.F.I.)—Romex Protec. 3. x Installed Close to Edge of Studs & C.J. . Ground made up w/Mech. Fasteners—Bond Gas & Water 7 ation—Foam—Looked in Attic [Yes Appliance Circuits in Kitchen & Conductor Size 7 . s &-Deck Construction—Post Caps — 26. Subfeed Wire Size / / ga. Cu or AI—A.C. Wire Size / / ga. Cu or Al 7 n. Vents & Crawl Hole Do rainage & Wood -Earth Clearance Looked under Floor es 27. Range Circ. / aa. CC r AI—Oven Circ. / / ga. Cu or AI, Insulated Neutral `*Yes ❑No 75, Following instld.: Drive s Q No; Walks El Yes �No� Planters El Yes o 26—Riser Conductors & Ground—Main Disconnect 76 yL9^Clearances; Panels—Motors—Mech. Equip. 7 .C. Un!isconnect—Clrnces—Brkr. & Cond. Size -115V Outlet 3—Clothe,, Closet Light—Shower Light 7 79 s Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. nect, Electrical, Plumbing 80 E lec. Trim; G.F.I. Receptacle—Underground d B-6 atej�Card BI Date 81 ion throughout House Card B -I Date Card -BI Date 82 __Glass-Ucelectron Date AL (Permit) OK except N's MECVs 8 _ io from Previous Inspections Meters Tagged; Gas—Electric 3 A.C. Ducts; Insulation & Support er Sewer Connected—C/O to Grade—HD Approval — 32. Vent Fan; Exhaust above Insulatione_rgy 33. Condensate Drain & Overflow; Size & Grade Compliance Certificate—Other Certificates .1, 1 /n0 TD Cd�A#5 34. Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet ` r'r4' 35. Attic Access & Platform if Furnace in Attic C City -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR G(Plans) OK except q's Sil roper Material &Anchors 3 Wa , suds—Nailing, Spacing & Bracing—Plates—Sound 3 ng Walls over Girders & Floor Nailing 9. Stop in Walls (rat proof) _ Fire ; Furred Ceilings—Stairs—Chases—Tub a Beam—_Size & Bearing 1A2 __ _ _ -'—F Ha —Post Caps—Anchors—Connectors oiJ Rftr. Ties—Purlin—Roof Brac.—Td s—Shthng.—Rfng. _ _ F' place Ties or Type AFlue—Fireplace Throat _ AAccess; Size & Romex Protection—Draft Stop—Ins. Baffles Bdrmm.'ndows or Exiting Doors—Sill Hgt. & Dimensions �ge Fire Protection Framing (NOTE:Anentrymust be made each time you visit job site) a County of Butte EPARTMENT OF PUBLIC WORKS 89��15 Chico- 7 County Center Dr., OrovNlp,.— 534-4541 Skyway and Elliott Rd. Paradise — 35r • CORRECTION NOTICE ......................................................... ............. l/ Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f� ./ ..il........ ./f � / ,.I...`......... .i:�a.� ........ / . . .............................................. .. ... ... .. .....:.............................................................................................................. ice..........-a.......,�..:...-..�.................,..............................................:..... 1. ...................................................... .......................... ................... -� .) ��,r� - Date.. ..... ......... Inspector .. �...��..............................��.....�..:.�^ Do Not Remove This Tog (400-4) COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534 -4541s - Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /ma L J 449/41 Ir' �.. 2 _ PL. [�C+ . L C _ //Vs 0) PA90.-t 1-,r:. -, ffr .��a iii en- Inspector- // Inspector// f/' 111-X��1�� Date ��I �/ ------- Il ( COUNTY—UPBUTTE DEPARTMENT OF PUBLIC WORKS 1196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2V xt. 57 CORRECTION NOTICE v 4 3$ I) 5 Fit)/'• J(, r et' BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /V fl'I'lL L lit 4- ' �1cJ 5 r T� F=nf-r� <9 [C... �f✓f f� c . { �a �S Inspector Date ��� COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive.,Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE' � F � 67-0, (171 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,- or need additional explanation, please contact this office immediately. f %�ifYIJf!�G ✓ 4f t/ 4,7— (3f"Z. _2 1 �! V!!lin.J1 f'1h s2�lyil... ,i4w`f 77��i� Cr"1 t',i r �>�laef i i w ! 601' rel.. A A -J r o/c_. A6140c,�17(_ As efws-1wc/c -,;_c_0rrs-V17PLtI'f_ t.c)I L)IAJA-A., S/ T }T C Z a [. r_ / /C/ rf /ZL /E c_T. . 1,vs /yi,,z/6_ 80 e-lek � TV �11)_S ALL. ALL G 1-401 n 7_*)y J/V�r Sf f r�A-/°�. 4-)A L �! fi7rLT fi k/-/ trc i l` fyS 460a,- INS. 41,InspectorV"�/-`+�� Date + r , /414115 �! V!!lin.J1 f'1h s2�lyil... ,i4w`f 77��i� Cr"1 t',i r �>�laef i i w ! 601' rel.. A A -J r o/c_. A6140c,�17(_ As efws-1wc/c -,;_c_0rrs-V17PLtI'f_ t.c)I L)IAJA-A., S/ T }T C Z a [. r_ / /C/ rf /ZL /E c_T. . 1,vs /yi,,z/6_ 80 e-lek � TV �11)_S ALL. ALL G 1-401 n 7_*)y J/V�r Sf f r�A-/°�. 4-)A L �! fi7rLT fi k/-/ trc i l` fyS 460a,- INS. 41,InspectorV"�/-`+�� Date + r , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER _ PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I A/ Inspector �t��•rrJ" ! L/�rp+ /C Date ' k( COUNTY OF BUTTE -' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION. AND PERMIT P RMIT N0. ASSESSO P RCEL N MB < ZONING .- — BUILDING PERMIT OWNE�T t /j TELEPHONE SQ. FT. OCC. BUILDING V ATION MAILING ADD SS ' CCk.�L ZOR•S NAME t) yvle r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Al UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 rp Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In lation ❑ Other Describe work: Y_ 1p -43 g- $- �r �- 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ( ACC. BLDGS. t 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ,,,.,,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 CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS, NEW CONSTR. (POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. Ex. Occu zDesOt P TS OR FIXTURES BAL®30 FIXED FXED APP LNS, OR Ex. OCCUp.I OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHA ICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating t Cooling / I o Hood 3.00 Ventilation Permit Fee $ QQ .0 0 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 Pi aga' aid County in i9nsequence of the granting of this permit. 01 X Date �� Signature of Ap rant - Owner ❑ Contractor ❑ Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TOR OF PUBLIC xv— By _ PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS _ Date_ i /+� �1 /1, T65-1/ Receipt No. V � 7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTEt -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION.AND PERMIT PERMIT ASSESSO P RCEL UM R ZONING BUILDING PERMIT OWN a TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER MAILING DRESS + 7 SRd e kpi CONTRACTOR'S NAME T E L E-1 NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ Id ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS r � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 rb Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF O�buplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Reode 1 ❑ Utilities ❑ Installation ❑ Other Describe work: '`� \\ �oA_,Q-a , _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADONS. ACC. BLDGS. I 2/20sgft 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. icense 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 CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS & NON.RESID. (POWER OUTLET CIR. Ex. Occu 20@500 P�o OR FIXTURES BAL030 FIXED A Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 1f Consent to Self -Insure. 10! 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. 11 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, judgme , costs, and expenses which may in any way accrue a id County i onsequence of the granting of this permit. %� Date �_�J 83 Signature of (cant — 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 $ TOTAL PERMIT FEE $ ' 15 OCCUP. GROUP I TYPE OF CONST, I PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which E TOR OF PUBLIC By PERMIT EXPIRES Da the applicable provi- resolutions to do fees have been paid. WORKS Date ^- Receipt No. M3-71 � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • '' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / P IT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 C APPLICATION AND PERMIT AA ASSE —3Cf—L N BER �l NG ZO T i FF- Mq BUILDING PERMIT Pt OWN ra ra TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING AD ESS 'AD l CONTRACTOR'S NAME TELEPHON/ 2617 V q, 7 CONTRACTOR'S MAILING ADDRESS Fire lace �' �� CONSTRUCTION LENDER NKNOWN Total Valuation $ Filing Fee $ 10,00 __7`0" LENDER'S MAILING ADDRESS Permit Fee $ o`a, , ARCHITECT OR ENGINEER uZ LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING AD E S Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 S� e Each Trap 2.00 &0 0 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME r PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets —� USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer ""' Lawn sprinkler system 5.00 UJ TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee t '! Main service 100 AMP OROOV OR SLESS 00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELL( •d) OR ADDNS. ACC. B G 2Pagft CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): p Y p I 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 Q1,1 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 CONSTR I. U. L CIRCUIT 2.50 ea ti NEWNON.RESID /BRANCH NON.RESID R. (SINGLE OUTLET USCIR&I REST Ex. OUTLETS OR FIXTURES a �2 y (TLEXED APPLNS. OR Ex. Occup.(o UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating — Coolingr o Hood 3.00 t Ventilation permit Fee S 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 li ities, judgments, sts, and expenses which may in any way accrue a st aid Count in co equence of the granting of this pe mit. c �_B Jl/ �G Dat' Signature of Appli nt — caner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE oc P. cRouP MONST. PARCEy PD MDISSUE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRE R OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3- F ✓-2-� I /over Receipt No. b 111-0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Telephone 533-2000 North Burbank Public Utility District. 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 9-82 BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: ROBERT G. SEQUEIRA 3401 East Bayshore Rd., Redwood City, CA 94063 Applicant Phone No.: 415-364-9161 Property Location (s)- 6383 South Fork Court, Oroville 95965 ,Kelly Ridge Estates Unit 4C, Lot 428 A. P. No. (s): 069-311-0-009-0 (34-89-09) Fees Paid: ALL FEES PAID Application for service approved: North Burbank Public Utility District February 24, 1982 Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTt9L.DEVELOPMENT Section 26-8.i of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. DFFIC,,A RUiTE COiJhLT�s;R,i t. rY- RDREQUE �, S ED 8B FE 25 12 36 PIit 99? CLAPK A. NELSON The property described herein is adjacent to land or included CLERK -RECORDER `within an area zoned for agricultural purposes, and residents of s;!— �sv EE ,this property may be subject to inconveniences or discomfort arising ',% 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 occa- sionally generate dust, smoke','noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive 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: Lot 428, as shown on that certain map entitled, "KELLY RIDGE•ESTATES UNIT 4C", which map was filed in the office of the Recorder of the County of Butte, State of California, May 2, 1978 in Book 66 of Maps, at pages 9,,10, 11, 12 and 13. Date. 'ebruary 25, 1982 PROPERTY OWNERS a,,� Jr Rob t G. Sequeira State of California ) On this the 25th day of February 31 19 82� ).SS, before me, the undersigned Notary Public, personally County•of Butte ) appeared I ****Robert G. Sequeira********* known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged O'rFICiAL SEAL that he executed the same for the purposes P P therein contained. NOTARY FUi3 (C CALIFORNIA IN WITNESS WHEREOF, I hereunto set my hand and official PRINCIPAL OFFICE 1N BUTTE COUNTY seal. MY COMMISSION EXPIRES MARCH 2, 1982 • otary PublAk Present A.P. NO. OWNER A.'- 'GENERAL, (V Zoning requirements ,/Z: Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, &'MISC. ONLY) o Bldg. Permit # y��...�. �t.ev A.P. # (sideyards and parking).. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. I Setbackq, sideyards, easements, etc1>1 . Other buildings or structures. Grading, fills, drainage.. C. FLOOR PLAN a Complete to scale plan with dimensions. �2! Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). s4! Allowable glazing for energy requirements (20% max. per,State law). ,.r5< Human impact.glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). 7! G.F.C.I.'s in baths and exterior outlets (Sec..210-8). �. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, keet4ng & cooling equipment, other electrical o* gas - equipment, and.plumbing fixtures. Wil�Garage firewall, door size, and -closer (Sec. 503(d)(4)). 1p1� - 3'0" exterior exit door (Sec. 3303d). 1�! Fireplace location. 1,3.1 Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete'enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to -construct Roof construction details complete enough to construct building. -75-- Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,.1! CCX plywood on exposed locations and overhangs. -Y Stairway details (Sec. 3305). -9c: Guardrail details (Sec. 1716). A< rick or stone veneer (Chapter 30). .Exterior plaster - weep screeds (Sec. 4706 & 4708). �! Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. ��Garage door or porch header sizes. Adequate bracing. building. (State law). �- Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). „ •a �' 5 r- .gist' ."� M�`' b, OP ♦ oils i�K �Vq Oa141 so tra fUM 1� WF c f ; ai moor/�►, e:. ww ai"W40 i;; _ .`. i 8E OOM 2 r jY„,BEDROOM 3 KITCHEN ) ,'♦ v ; - - M r! i 11'-6°.R9r-O 4 ir.M �i�►.173 B> im ft* C%IWS � YYtM+ _ • M �jsw u+sa �� '� r F � �►M•tK llr► - if � S • .1.11 wa �- .. .. ••fi�r, i : � XY�-�,iT: � wt 1«`°Y. � UW / .�1YL N•n1YM taM •r•' 7�/ �. at M ts4w6 ApCA STER BEDROOM 1 Z ' L1 .Q R0 Pr. 6M►A6t !►Pt► Oa•i-+ - ' yy. , ru 16'-O” R 12'-o r . R + v R •}� ca:� - i f�, .`�'f"r ...t- RRL . :.1! • r,7Mt, tC jt t] IL[ j ' ff'rf 41••r L,y.,�c>p t� Jiia{' ,. ' p . Yra r,ea AAOOT vl t2• vmu f wKH vaw ancaswoa "T,6� : �ff� � \ �►/n . tt +n �t Ab . 600 A. KO; s_ ev wa►W&WAT_ is at 4s7GIN �P/Gcni/Mwrt+t �, niia.a t H�j'urrl Rw� — �— j �L/vf. NOtnr � Alt -6 rtP r ,/a•tNDrw .ye w.• r , L Y . , f 4 Y.1,a • • .� CsyaI•i�IC 114 !P/r _ `�]/.ramR 1Wro '/r.L/7l r um 23!-w YaOf '= =f � '•� t -,•.,.1 � '1 + •a t?Ib ...�:�ltII._M+on+n1 T L w �O.aA.TYOV •bMr+� Y I j / a .,n� et�n s,,wr,;aod ' + Q +d •t cw a s (s; .. �. �_ •► ,` A p t ►rrav�nrv:.-t¢ s 7•a� %va.......... .....�S_= 4a •► A1aTYjiAC. eui:r } �aass� .t }• V 2'A v [ v.,. •Mn v�.✓'a v w ar�r►aa•/ s.rr w/K)-AL�QMl,�lY)� dw �L �o."uw"v° tiM�►wr : w }errl.twa . a iuY.ACr; j tW r.10.,sw•ej..°M•aa p• mu Yi. M � r k , ttR �,,,� �e �w tivii► ypr.v e:rwit +�;r;"sw��roGs.•iv �� rttM/t �.r•'�M Y•b •,� W �; . r � v+v�nWwa�La' ) ��f.��Y.��_t�� - '1 tlrai !Ki►StF ' (ALri A' y • ' ♦ t Ys. •` csr'•wra AaW.ri ..HQ.�un- P�o'nr ..t. t s, - _ ;F746.1 .' . n*^Ao" u. 4i arAs _ - M • _ Tr.O� '+.._.-..._._-• - - yyL(�tD :rM/nO1fl4` i� 2:1: ' S t W'.Ot- . 'l=6Y i•y♦ 4r..� r _ - - _ - tlr•y. OUfLD9dG Qi'?t S -. • a - ti �MIOIITA MT: ! J> • F L 0 `0 R �'P ,L-,, Q N' arw0aa w.T,r» .,r.• •rl YYY Yr.w Yaw wtiwr .•+a+Y rlji Mwrw. ,iYifir aYHwa Yw•YprFiY I K �'►Auv rraarpaNL/.Orr MY rmnua r r anYYrw YMYa w 1•MYrfp 1YM ra TV /w /Y MAIM rrI h wYar, w _ T r - . _ •�w'A• M .su...A.w.Yr.►r. � ,•��•- -- — ;MMt1AlONi •7O�iTPILa '.n- �.YSYYYY Y 'oomw ra YYnna wnr r ❑ 'r• �!�w wr i «w wY nig •� w �n 1JYAl/'.yi �'/ r ` 1N_ :aI � a.,��..-y,,,.� moi.+-� -�. �...--•.r-.- �.a y.5.-� - - 7 r RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 6 Z50 -WL CT (location) BUILDING PERMIT NO. 424- 5.28. tom, EM AiP. NO. 69- 31 -9 THE FOLLOWING HAVE BEEN INSTALLED AS PER'APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge . Al*, Fdn. Walls A/1 Floors ✓ Walls Ceiling/Roof Ducts L/_ Circulating Pipes APPROVED HEATER �7— APPROVED WTR.HTR. v"'— GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING'DRS. ,WEATHERSTRIPPED DRS. ✓ BACK DAMPERED FANS ,y INTERMITTENT IGNITION DEVICEE-S_,"_ CERT. APPLIANCES 1/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print). Insulation Applicator State Contractors License No. General-Contractor/Owner Name_ _ \0j u , !Z4ajt (please print) Signature of General Contractor/Owner Date Y -L -49X State Contractors License No. 319342IlS THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. • - • - - � `may!- � � ! , • 1 � /i �, f 1 ! •1 •, � t• , - - .,}• . r . , � nc y,1,� ii�"y ,\ • % , "1. {-�� �' Y• IIgI� �• 1� �L `%'•nIC _e}. �.� •i irol Ir W. TZf 74 Fil i ,. t}n� i Tom•. �' � ti r 1,:�'++� � t � •� \. ( -f Y t,m y+�� t � ,�,, jam. � _ - •� ,a; i ....���� : �. Y.I. 1 K}\ ��'pf ��Y �• � •� ` �r� ' S J • r- � i �' _ -r r 069=310-009 'PERMIT#96-0042 _,.SEQUE'IRA, Robe'r't 6383 South Fork Ct., Oroville Gas Water" Heater/SF lq7 of 1 x r 069=310-009 'PERMIT#96-0042 _,.SEQUE'IRA, Robe'r't 6383 South Fork Ct., Oroville Gas Water" Heater/SF lq7 of C'T i wa COUNTY OF BUTTE- DEPARTMENT OF DCVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT W � ASSESSOR PARCEL NUMBER I 69-31--009 ZONING RT1 BUILDING PERMIT OWNER ROBERT SEQUEIRA T 89N-3552 SQ. FT• OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6383 SOUTH FORK Cr OROVILLE, 95966 CONTRACTOR'S NAME MINER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIw0WN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 6383 SOUTH FORK CP PERMITFEE $ OROVILLE, 95966 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDN5roN5 NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SFO Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 9 Other ❑ Describe work: INSTALL 40 GAL PROFANE WATER HEATER Mobile Home S G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service eoov oR LEss ( 2o0A oR LEss ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: �r P I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES )120.00 SAL 50 EX. Occup. OUTLETS PLNS. JOR ( ) Temporary Service Mobile Home Facilities Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / _ r X��L�'= '( Date "�'� ©-- Signature of Appi nt - O wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionR of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 3r.flfl HA2. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMITEXPIRESON 3 — %F7 (Date) ReceiptNo. 175 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF,DEVE.ILOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, C;Iifornira 95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT 1�4' de) ASSESSOR PARCEL NUMBER 69-31-009 ZONING RT1 BUILDING PERMIT OWNER ROBERT SEQUEIRA TELEPHONE 589-3552 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6383 SOUTH FORK CT OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER , LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6383 SOUTH FORK CT PERMITFEE $ OROVILLE, 95966 - PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SU8_ N N'S NAME - PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF CY Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 15.0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation I'd Other ❑ Descr" ibe Work: INSTALL 40 GAL PROPANE WATER HEATER Mobile Home S G W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service 800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 • LICENSEDCONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ff the following reason: VQ" I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. ) SQ. 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (s SINGLE OUTLET CIS. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. OUTLEDAPPM °R ( E (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home. Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with a provisions. r X _ Date / �.� Signa ire of App ❑ caner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 MAZ. D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY OL�Date PERMIT EXPIRES ON "— applicable provisions Resolutions to do work been paid. q / 3 % 7 (Date) Receipt No. 190775 I WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 50% a•x:.:•:::.v:::::.v:• f?.,•: •.?2CxTu�}:s <.v •:}�:: Y...;s}.x vrrb �'�:.}: .,:. �•;i.?:.}:•}:?;:oyi•}:?,,.},..t.}.,:vk .•;c:„•k .::.,.���Y:YFo�\•"":Y ::.. �:,;..;:r}r.}}`•;.};.}}.}w}G .. �...��x.:$N:.sx.:......}.•......Y;. C....,:.... r.. i•:.•kt<::.::::...:..:..:Y..:.a..a.aa\.. �c.,.:.. , ."`f..�,,lrnic?: 1i �1 U7s•{,. 01 VE ' v .::. v' .:.. Fi. +• '.} .}} is v. .v :r :•.:iti .x. 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 la or and materials for construction of.the ,proposed property improvement: YES[v NO[ ]. 2. I HAVE[! HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. 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_�ZAII,-4Y_f"z4e�e�� SOCIAL SECURITY NUMBER: ? DATE: _ •� �� NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified - For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to • have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you -plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract - the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin'c'erel , ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 069-310-009 PERMIT#95-1682 SEQUEIRA, Robert 6383 South Fork Ct., Oroville Gas Line/SF �//�/�� hq/ f5- V/ - I t OFFICE COPY Address GAS Meter B Date 5_E E ElC 9 .. v- ..,�. :i .1 a'•-iti.'�,� _ t.-..'!•!ti'.-:�-:.%-��i..-•ii..{_4,.�.�i{.' ,.::r� .#_ r..�.r.; COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -754 PERMIT NO. APPLICATION AND PERMIT 6 --/Iea ASSESSOR PARCEL NUMBER 069-310-009 ZONING 1 rtl B ILDING PERMIT OWNER robert SEQUEIRA TELEPHONE 584-3552 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS �h`''j 6383 S. FORK CRT OROVILLE 95EL966 CONTRACTORS NAME UNKNOWN EPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS " Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILOINGADDRESS 6383 S. FORK CRT PERMITFEE $ OROVILLE 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME 1 PARCEL MAP i Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15. Q0 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (,tiYl✓e� I r Mobile Home S I GI W 1 920.00 PERMITFEE g 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a00V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawhe following reason: go 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR 8 ACC. ) ADDLICENSED SO. 3.50T. NEW CONST. LTI-OUTLEUTLEBLDS ONST. MUT NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q I.o0 BAL .00 50 EX. Occup. (ours PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ® 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) W/I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with t se provisions. Date Signal re of Ap i ❑Awner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is occ i CONST. TYPE I TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have Y BA PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ate q / / (Date) Receipt No. 180718 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING VISION 7 County Center Drive - Oroville California 95965 - Telephone (916) )5 -75!�S=/zq PERMIT NO. APPLICATION AND PERMIT 6 - ASS PARCEL NUMBER 069-310-009 ZONING rtl B ILDING PERMIT OWNER i.' robert SE UEIRA TELEPHONE 589-3552 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6383 S. FORK CRT OROVILLE 95966 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOYOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 6383 S. FORK CRT PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1. � i Mobile Home I S I GI W 1 920.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT20.'00 Filin Fee Main Service 000V OR LESS ( 20OA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawhe following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. E) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADON ( a ) s0. 3.5¢ Fr. S LTI-ACCUTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) d SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO Ex. Occup. ouTELEisjaESlo.�ea, ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) W/I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with se provisions. �— Date ----- Signat re of Ap wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD 7F PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. ate/ 7 / < (Date) Receipt No. 180718 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 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 la or and materials for construction of the proposed pro improvement : YESWJ NO[ ]. 2. I HAVE[V] 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: D'I'Y: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAINEE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NA IE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY O DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself~ you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by Iaw to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate fancily, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personaiiy. Buiiding permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, / ol Michael C. Vicira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. n a,IV o ,,;vyp.. ,.,,51�_�r,- `- .n�:f.;#.,. . 1 =v �., :. •.�:.�;,..; •sD� � � �/� �)�� �•iC^�!3�t'�A'S,r�.j��'',�'�"F'{�+f•i� -.t��ry J. Y Z .•._ vv ".JJ { COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 Couinty Center Drive - Oroville,, galiforpia 95965 - Telephone (916) 538-75 RERMIT No. APPLICATION AND PERMIT L5 a ASSESSOR PARCEL NUMBER 069_310-009 ZONING RT1 BUILDINGPERMIT OWNER ROBERT SMUEIRA 799L3552 SQ. FT• OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6383 S. FORK CRT OROVILLE, 95966 CONTRACTOR'S NAMEI.�.�„'�^• }�'�'� Yj1� TELEPHONE - CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS HARING ADDRESS Penalty $ BUILDING ADDRESS 6383 S. FORK CRT PERMITFEE $ OROVILIE, 95966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSK)N'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE + SF OXDuplex ❑ Mobilehome ❑ Other { SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: H WING i Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT FilingFee 20:00 ! Main Service 000V OR LESS ( zOOA OR LESS / [NEW 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that"I am licensgd under provisions of Chapter 9 (commencing with Section •7000) Oi Division 3 of the Business and Professions Code, and my -license is in full force and effect. License Class Lic. No. ( OWNER -BUILDER DECLARATIQ�J I hereby affirm under penalty of perjury that I am exern f cm the Contractors License Law for the following reason: ,_ % If Bell, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. + ❑ 1 am exempt under Sec. Business and Professions Code for this reason CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) so. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( ) @7.50 POWER APPARATUS ( d SINGLE OUfLEr CIR. ) Ex. Occup. ( OUTLET OR FDCTURES ) 20 @ 1.00 BAL .50 FIXED APPLNS. OR Ex. Occup. (ouruers (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation �of one hundred dollars ($100) or less.) ., F I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r' 'XDate / � n l Sigure of plicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is GCC CONST. TYPE FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD r4pUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f P<wh-ch fees have been paid. B Date PERMITEXPIRESON 911/96 (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Cahfomi _5965 -Telephone APPLICATION AND PERMIT BUILDING DI SION (916) 538-7 41 ; T NO. ASSESSOR PARCEL NUMBER 069-310-009 ZONING RT1 BUILDING PERMIT OWNER ROBERT SEQUEIRA"IM-E3552 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6383 S ..T FORK CRT OROVILLE, 95966 'S CONTRACTORNAME UNKNOWN iIV TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6383 S. FORK CRT PERMITFEE $ OROVILLE, 95966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer .� 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: HEATING Mobile Home ISIGI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 OR LESS ) Main Service ( eoov LESS 200A OR 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSEDCONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter with Section 7000 of Division 3 of the Business and Professions Code, 9 (commencing ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fro the following reason: 2 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. ) so 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 aAL .50 FIXED APPS. OR EX. Occup. p• ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35-00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi ose provisions. / -- Date f—�L7 � _ Si n ture of Ican Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer coectST. TYPE TOTAL FEE $ 35.00 HA2. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f wh ch fees have been paid. B Date PERMITEXPIRESON 9/11/96 (Date) ReceiptNo. 573 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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. I personally plan to provide the major labor. and materials for construction of the proposed property improvement: YES [,X] NO[ - i2. I HAVE[)(-] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted, with the following person (firm) to provide the. proposed construction: NAME: ADDRESS: % CITY: PHONE: / �� CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate supervise, and provide the major work: ' NAME: ADDR�S• CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I willprovide some of the work but I have contracted (hired) the following persons to pr/v/i/de'the work indicated: NAME' ADDRESS PHONE TYPE OF WORK SIGNED: K PROPERTY OWNER: R: DATE• NOTE: This owner -Builder Verification is required "by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tar withholding, federal social security tares, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form. so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S�nccrel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER G 5 SN4t.L FRo6T FTGS) r r C7C� f-ei'll 2'N •'Y(r (✓� 1� g', e. Iv CONG DLc. nw rlooe\ /4AZWrc SLAB 40 !Wdc .ULT 81r e. ib f5 - 1— Boyo hr.n CONI. fC s .2to 7. 1 i 1 d . �Z.._. 6.� T � 19 A r✓ n .I . A A' 'IDS'lei • i StOrrr S,EEI 5UDo0q,5 O 1 2• ,,I#� 8005 i raw rlooe 2. e' • e r,wG.1 ' 1__11 BUTTE COU1 TY 2L. ,lu P,.c L; APPROVED r� i FOOTING DETAILS I SCALE: 3/4-=j'-0" WGR• ! 4 61r, / I ter i U'L9ETCYMsr Wv t' sR x0•P vi (q ILA LA LK. -7 -1.1 g \ +• • wif }'� To l',4' 4AILE1i 4 v2`m •-" EoLTf � uMl[D SD � ; ^' • -Yi' zi j ,"141IAW QEG 7 A1?SPr-t 7 9tx_ T I O g', e. Iv CONG DLc. nw rlooe\ /4AZWrc SLAB 40 !Wdc .ULT 81r e. ib f5 - 1— Boyo hr.n CONI. fC s .2to 7. 1 i 1 d . �Z.._. 6.� T � 19 A r✓ n .I . A A' 'IDS'lei • i StOrrr S,EEI 5UDo0q,5 O 1 2• ,,I#� 8005 i raw rlooe 2. e' • e r,wG.1 ' 1__11 BUTTE COU1 TY 2L. ,lu P,.c L; APPROVED r� i FOOTING DETAILS I SCALE: 3/4-=j'-0" WGR• ! 4 61r, / I ter i U'L9ETCYMsr Wv t' sR x0•P vi (q ILA LA LK. -7 16 - To l',4' 4AILE1i 4 v2`m •-" EoLTf � uMl[D SD � ; 'T01.5e EA LEG ,"141IAW QEG 7 A1?SPr-t AMQ IS QCO"D MIM i I'.tEtitC•� 1b(•QAKLO gEAC�N• SCC T,r� TLAA RV AAAME.AL c. ���-- -Z ,. TDUHC' YUAN rC?r }TE • ,�- ottEo'cti M J01T.S , °h sA125 I- t2' c,_ ,•� ML1i wAYS 16 - 0 RESIDENTIAL k.; 69-310-009 4080-90B SEQUEIRA, Robert 6383 S. Fork Ct., Oroville (Conv. Cov. Area to Eritry Hall Area) i, JOB FINALE Signature V=dk ' O = Not OK =Not'aliceble = R Not Ready MOBILE HOMES 1 Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Electric 7. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane Iboard s -Ins. to Main in Conduit 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 -Pane Iboard s -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 "J OK O = Not OK Not Applicable ' = Not Ready RESIDENTIAL (Single: - & Duplex) Date UNDE LOOR (Plans) OK except #'s Date FRAMING (Continued) Zoning -Setbacks -Easements -Flood -Slope angers -Post Caps -Anchors -Connectors g., Main; Soils-Elec. Grnd.I�Ftg. Depth46oist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth ace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth46--At-tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped iiarage Fire Protection Framing 6a. Hold Downs and Special Anchors 54 -.Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Datel !J 'Yd Card B-1 Date Card B-1 Date P Card B-1 Date Card B-1 Date (r2lk, (2lCard B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle. Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door &Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer uip. Ground made up w/Meth. Fastners- Bon 0-Cuas_&-Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRA NG ns) OK except #'s Date Card B-1 Date Card B-1 ,•Proper Material &Anchors Date Card B-1 Date Card B-1 alls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing I Comments at Final: in Walls (rat proof) re Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing i each time you visit job site) i (NOTE: An entry must be made • - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATINAND PERMIT PERMIT NO. . -q� C) �� ASSESSOR PARCEL NUMBER —3 _ A ZONING BUILDING PERMIT OWNER =r TELEPHONE SO. FT. OCC. BUILDINGVALUATION OWNER'S MAILING AD ESS 7 So. Fork Ct., Orovillp h CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10•00 Permit Fee $38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $19.25_ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $67 . ? 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 428 SUBDIVISION NAME Kelly Ridge Estates Unit 4C 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 I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 8 X 9'6" Conversion of Covered Area to Entry Hall Area Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 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 P?"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 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2/,z¢sgft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOC BAL030 Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15. r1 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 f Consent to Self -Insure. LYJ ' 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 '10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agar said County in onsequence of the granting of this permit. Date ��—$� %� Signature of App /cant — 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 $92.?5 HAZ CUA PARK I SCHL I FLD PAR I PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which fees DI C R O P BLIC BY PER IT EXPIRES ate 2 the'appiicable provi- resolutions to do have been paid. WORKS ate Receipt No. 84614 —, W 9L .75 WMITE•O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA 7 COUNTY CENTER DRIVE - PERMIT RTMENT OF PUBLICWORKS- BUILDING DIVISION A6VI.LA1L!E,N LIFORNIA 95965 - TELEPHONE: 916/538-7541 APPLICATION D +TA SHEET t Kms' Permit No. OWNER AK,6r-4Sr LLZ--- / A* . P..No. 01"7-3119-0071 Proposed Building User-&�X4"IlCT 444L AAW7,;' Building Inspector • Date //� At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: / DATE RECEIVED APPROVED _ 1L 1. All items have been submitted . ........................ ........ . r :�. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete eri,gineered plans and calcs, with wet signature on plans 5. Hazardous MaterialeiForm.................................... Energy Design;Compliance and supporting documentation . Sagn. Z '7! Statement of In#ent,(for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobileh.ome 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 .............. I / Z 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 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy'of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 51 553 502. and hold for pickup at office. Deliver w. /inspector. Other Appl icanf Date 1/-28 "9U 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 rior to permit issuance.: (Circle new item not checked above). 1. Index permit for above items No. L&;a..&AA 7 2. Additional items required: ►n,vr, Contractor, designer,E3:1was advised of above required da ' ta by `hone—mal l—counter by ..date Contractor, designer, owner, was advised of above required data by=phoneM mall counter by date t.Z'7" %U Plans checked by I Date �2' `� Plans approved by 1 Date Sets of plans on hold in File cabinet AP folder, Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APFUCATION AND PERMIT PERMIT NO. 6( aiio *am ASSESSOR PARCEL NUMBER .. O o_i%.. ZONING OWNER z�r r— -xsg TELEPHONE -35sa SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING^ 4 C 3 �>1 3,/Fjww S CONTRACTOR'S NAME P TELEPHONE CONTRACTOR'S MAILING A RESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is ^^'' m d L/, LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee g ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19. 215 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee 3 PLUMBING PERMIT Filing Fee 10.00 $.3 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.p� a SUBOIVI ION NAME ,/ ( �n� J���c� V r 7 c PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF,�Duplex❑ Mobilehome❑ Other ff�.�G1;° /�q�C� �9D01%� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remode� Utilities ❑ _Installation❑ Other ❑ Describe work: g k q r6 r co-aae O -J _o� �OGtY�.l� Al�,o, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Doo AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions 0f 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 Main service EA. ADD'L 100 AMP 2.5'50 NEW CONST. DWELLING OCCUP.Ei OR ADONIS. ACC. BLDGS. , 2/2Csgft NEWCONSTR. MULTI -OUTLET NO N.R ESI 0, BRANCH CIRCITS 2.50 ea / POWER APPARATUS tl \SINGLE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES aALOS 0�¢ FIXED Ex. Occup. OUTLETS PAPLNS.(RESIO )REA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 oD Permit Fee s WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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 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 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 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - HAZ I CUA PARK I SCHL FLD I PAR Po J'HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -`-Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 01MER-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. n I personally plan to provide the major labor and materials for construction of �v the proposed property improvement (yes or no) r 10. 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 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 parsons 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. T+,iglu•se��yr.�rn��yecc..�C»V`iRO.--'T�"ir7rla,�Jt- �"R'ssl'^r ,r-re...-.:en,,.�e•.ya&7�.,c>'ti,r,y;;,f` 4 1 BUTTE COUNTY SCHOOLS DEVELQPMENT FEE CERTIFICATION FORM O (One Form per Building) A.P. Number dq- 3lo- 00l Building Department No. School District 040 C; /`G "'?�^�I•4L� City D County � Jurisdiction Property Owner LO/3rr er &L r/4* Project Location/Address '3 Ss 3 44Y, ageo - Subdivision ./A ACf�-S��`PZS cot"11yr Lot Number Residential Development:' Sq. Footage # of Living MHI Addition (Group R) Units --District Id No. /pq' QAd Of , &22_1� School District certifies that V� ' , // (Applican' Name)_ (Phone Number) to 3 9l3 Jftlk (Street Address) (City) (State) (Zip Co//de) has complied with the requirements of Resolution No. ��- q0_ 0 60 by the pay ent of $ AAA representing 76 square feet. 11 6-7 ho School Distr p Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH r white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) `BuildiniDepar ent Representative Date (Floor Plans -reviewed by School District'Personnel) --District Id No. /pq' QAd Of , &22_1� School District certifies that V� ' , // (Applican' Name)_ (Phone Number) to 3 9l3 Jftlk (Street Address) (City) (State) (Zip Co//de) has complied with the requirements of Resolution No. ��- q0_ 0 60 by the pay ent of $ AAA representing 76 square feet. 11 6-7 ho School Distr p Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH r white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) RESIDENTIAL,PLA. 5/89 PING GUIDE u -k- . (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # $o - c OWNER�olQen� Secdul01& A. P. # (��-3//�-L�'Jq GENERAL l --1 . Zoning requirements: (sideyards and number of permitted living units).. -2. Valuation. `-3. Plans signed by designer. -• Energy .Design and Compliance. St�/hyn-1 ' Existing violations. on property. - 6. Items on data sheet. eu A.&A �M-7 PLOT PLAN ---I. Complete parcel size and dimensions. ,-2. Setbacks, sideyards, easements, etc. i�-3. Other buildings or structures. �4. Grading, fills, drainage. --5". Flood hazard. - 1 -6. Special conditions on. creation map or compliance.document. FAU & FAS road setback. FLOOR PLAN 1. Complete to scale plan with dimensions.- KUA iawn,�. -2: Required windows for light and ventilation (Sec-. 1205). Required windows for second exit (Sec. 1204). %j t4. Skylights (Chapter 34 & Sec. 5207). r%3: Human impact glass (Sec. 5406). ,,6: Required room sizes, ceiling heights. (Sec. 1207).. N L-7! GFCIs in baths, garage, and exterior outlets (Article 210-8). -..8. ,. Light. fixtures,. switches,.. receptacles, and exterior receptacles for maintenance "of 'mechanical equipment::--- �9:..-Locations of water heater, heating and cooling equipment,other electrical or gas equipment, and plumbing fixtures. Li -G_. Garage firewall, door size, 'and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). w►1k12. Fireplace and wood stove location, alcoves, and clearance. 0►'13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS m comp a enough to construct building. - or construction details complete enough to construct building.- S(, 'vations and wall construction details complete enough to construct building. e401'0 4. Ploof construction details complete enough to construct building. OP6. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance; handrails (Sec. 3306). iLl. Guardrail details (Sec. 1711 & 3306(j)). �%SN. Brick., or-. ;stone veneer (Chapter 30) . 5/89 RESIDENTIAL PLAN CHECKING GUIDE ---MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) J�lA4. Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). CgkAi. Roof covering type - (fire hazard).. r„kI. Rafter ties or bearing ridge beam. O N 8. Garage door or porch header sizes. �9. Adequate bracing. N MO. Living. area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. �JK1. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). X012. Attic access and ventilation (Sec. 3205). -Underf loor access and ventilation (Sec. 2516). vjM . Combustion air for fuel burning appliances.' !. W' 15. Noise requirements on duplexes. OP16. Adobe soils - special foundation design.. . 17.. Retaining walls requiring design.. NP,1 . Unusual shape, size, or split level house requiring lateral design.. . Flashing at all exterior openings. ►nNtG&A �laM ` - •� I��ir« ♦ , . ��X !.: r ". r yk�,1 ' •�����Y" �.!c+,*.3.�,.wy��:0 � �-,}�1. y. r,,�. J' y ` � ��;�,(' '♦x`. ! T;+• Jtf�i �;.i — is �� �" r '/i.~ � fl G•'^OTO n',�^ST���i _ • 'j��. r'' F �i•...� jNr'�S' � �6 .. *..�i+_ � „t 7�i_.t' ,�r� •J 1 «, � �+..J .. 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