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Home My WebLink About069-330-01669-33-16 fb� Al Kauffman Permit #2098-81M(inst.heat-piimp) 00 69-33-16 Permit #2151-81E(elec.service'' 028 3 4-1 069'330MOz) -;;104'2226)L RA ADDITION, 549) FT- -069-33 40 . . . . ' ' ` » . � ^ . . . ' ` \' | � / | / | ` | � ' ' ^ . , . `~. CPA- BUTTE COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH 411 Main St., P 0 Box 5364, Chico, CA 95927-5364 (530) 891-2727 FAX (530) 895-6512 PRE -APPLICATION REVIEW (Pleas c tgck appropriate box) ( ) TENTATIVE SUBDIVISION MAP () SOIL WAIVER TENTATIVE PARCEL RIAP () MINOR USE PERMIT (' ) USE PERMIT ( ) ADMIN USE PERMIT ( ) OTHER Location of Property 1 10 R 1\j e rV iew Dr. ar• mA `le -CA Assessor's Parcel Number: d69- 330-01G PROJECT DESCRIPTION 2 POrCel Soli% Applicant: Phone No: 3 O S( 9-1 7 3 Address: 11th Rcv e ry te\n/ Or., ()rpv'\ iie owner: Rab Romaquer i3ayine Phone No: FA4 R- 1,7 S Address: - - . • - Engineer or Surveyor: RlC.1nQy6 F. Sav►nar Phone No: 64G-3001 .Address: 55G LTi Ave, Gridley, CA 9594® Mail correspondence to: �Oy ry E'_!lOr- Signature — Date 3 v % HEAL'T'H DEPARTMENT USE ONLY FEE PAID Health Department Receipt No��`'�? _ Date E.H.S. Reviewing Application LaaddivBCPREAP.May2005 cc: Karen Frederick, Environmental Health Admin. �tr; Planning S �;= BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 110 RIVERVIEW DR Owner: Permit NO: B06-2890 APN: 069-330-016 ROMAGUERA, ROB & KING JE Issued Date: 12/27/2006 By ,GLB Permit type: MISCELLANEOUS 110 RIVERVIEW DR Subtype: HVAC Change Out OROVILLE, CA 95966 Expiration Date: 12/27/2007 Description: Install HVAC package Occupancy: Zoning: AR1 Contractor Applicant: Square Footage: SECO HEATING AND AIR Capitol Energy Consultants Building Garage Remdl/Addn 4320 ANTHONY CT, SUITE 1 1709 Adonis Way ROCKLIN, CA 95677 Sacramento, CA 95864 (916)652-6755 (916)283-5099 Other Porch/Patio Total FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1308 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SECO HEATING AND AIR 788807 / C20 C38 / 12/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects , the X 12/27/2006 applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ' COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License . Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). _ HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Policy Number: WKN1275722 Exp. Date:05/01/2007 Contractor's License Law.). (This section need not be completed if the permit is or one hundred dollars ($100) or ess. RI AM EXEMPT under Section B. & P.C. for Ihis reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 12/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 12/27/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co ty to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr owner or am authorized to act on the property owners behalf. 12/27/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee Print Date - the performance of the work for which this permit is issued. (3097 civ. code) Owner 11Contractor OR; ❑Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name �� iZ� irst Nam4 Mailing Address I O ZV L(L 01 &�- _Z)% City Qtw v It State zip AS9 66 Phone 530 8y�s —1 �3$ Fax E-mail CONTRACTOR Name 6 Co k n Name Address y 3� nSvie4c, Address Zip Stam' Fax Phone qlL- 6S L Faxc?l6 E-mail Lic.#9 $o Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityS�c.C1r�m1o Address Zip City Fax State Zip Phone Name Fax E-mail State License Number APPLICANT INFORMATION n Name L114` k-6 L 6w6v -G Y C rvSI�vmv—,S Address i �G Aaow-l% \-4/-A CityS�c.C1r�m1o State., Zip Phone gIL Fax E-mail C ��,Co � �.N�ft. G- �Sc,.r� Lv��`i`• (�� APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: i PROJECTLOCATION AP# q 3?�o. O t �P Property Address !(o Q,\)t(L U %Lt^, ��.,. City L UU, Cross Street WORKER'S COMPENSATION Policy Number W )C m 24 -4 Z ) Carrier Oahu Hbv p CI,I A If hiring anyone other Man license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Sco a of Work: L >ojja �. Asa< A Iti til•;,; Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff Other Date: Total BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES' BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / � 6 S J JTS0 License Class : License Number: ` Date: 7/ / / A-) f' Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): PERMIT NO. BP042028 Issued Date: 07/12/2004 APN: 069-330-016-000 Site Address: 110 RIVERVIEW DR ORO Map Index: / Description: r 4 Owner: ROMAGUERA ROB' ETAL KING JENAE 110 RIVERVIEW DR OROVILLE; CA 95966-9421 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROMAGUERA ROB" ETAL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to.construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, C:ontracton. OWARD CONSTRUCTION and who contracts for such projects with a contractor(s) licensed 266 LODGEVIEW DR pursuant to the Contractors' State License Law.). OROVILLE, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95966 Date: owner: 530-589-4372 C License #: 665450 4 q/� WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the7//� Labor.Code, for the performance of the work for which this permit % G Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required Section the Labor Code, for the performance of the work for which thisis permit is issued. My workers' compensation for O n () I insurance number are: carrier and policy Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 I certify that in the performance of the work for which this permit is issued, 1 shall not employ any any manner so ato Census Code: _ n persons become subject to the workers' compensation laws of California, off►"�Yy� �[ �Of (� and agree that if I should become subject to the workers' CJ_ 1 compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply wit those provisions. C OJA 140(� Date: l i 'G�JII (<tb Ll _(0 J Applicant: IAI/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of �� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her by issued under the applicable provisions ortne Butte County Code I hereby affirm that there is a construction lending agency for the Resolution 6 work indicated above for which fees have been paid. performance of the work fpf which this permit is issued (Sec 3097 Civ.) - U Name: /t1(S/(��d� By: Date: PERMIT EXPIRES Address: rnatpi ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docui n -of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposos. Print Name: �l D� f\ ' LAA, Signature: ✓ Date: . ❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor Mir NOTES RESIDENTIAL ._ ' U69-330-016 04-2226 t' ' PERMIT NO. ` _.. ROMAGUER , ROBERT' 110 RIVER-VIFW, OROVILLE Z Cont: HOWARD CONST . • ADDITION 540 -SQ FT i 4 IL^• '� ti i SPECIAL CONDITIONS . r�F - e`;�' • ., _CHECKED,. BY FLOOD,CERTIFICATE REQ. 7 , • wFIRE SPRINKLERS REQ. , ' - t -SPECIAL INSF.ECTION-ITEMS . ` VERIFY sr USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER x � � � � fix• OFFICE COPY Address GAS Dates ' Meter By p ELECTRIC pate G— Meter By V -v FINALED (Date) tJOB 1, Signature J=OK 0 = Not OK s NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 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/0 -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./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. 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 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. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 11. Cert. of Occupancy Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNIFLOOR (Plans) OK except #'s n i ng-Setbac ks- Easements- Flood -Slope I�Wf Ftg., Main; Soils-Elec. Grnd. /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped pC�vflj�((� D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test LileoVater Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 12- P ms & Duct • Cle ran ater' -Suppo - Girde - i n Joi -Vents-Crlppies Access & Ventilation 16. Insulation Date6p Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle DZ-Vgater Pipe; Test & Anchor -Nail Protection Test Fittings & Anchor -Nail Protection J2P,Thower Pan; Test, First Floor -Tub Access T Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23 Fire Sprinkler• T cT Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT CAL (Permit) OK except #'s ixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors bl-lize Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 8. Equip. Ground made up w/Mech Fasteners- Bond-aa��. nce irc nductor Size GFI ire ize ga. I-A.C. Wire Size/ /ga Cu or Al 31. or AI -Oven Circ. / /ga Cu or Al Insulted Neutral ❑ Yes ❑ No 3 ervice-Riser Conductors & Ground Main Disconnect . Clearances Panels-Motors-Mech. Equip. CI thes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date VMECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1' Date FRAM!NG (Permit) OK except #'s §�Us Proper Materials & Anchors 4-2'Valls Studs -Nailing Spacing & Braces -Plates -Sound 14.' Bjearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) p7 rgers-Post Caps -Anchors -Connectors ling. Joist-Rftr. i s urlin-Roll Brac.-Truss-Shting.-Rtng. Ireg; e A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles sula m -Looked in L54-6drm. Windows or Exiting Doors -Sill Ht. & Dimensions 5 n Framing -RC Channel ' Property Line Firewall & Openings FTn. VBents & awl Hole Door Drainage & Wood -Earth Cl2mrfice Looked under F es -following Instld./Drive es O No/Walks(] Yes O No/Planters O Yes ii j�,9 ! xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8 +65. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection .L5C—*"ood on Roof Overhang -Attic Vents -Rafter Outriggers -lents Above Roof, PI ppliance :'rapl�ce-r'lo^r^nrp to Openings ound ,x.57—Stding-Nailing Veneer 58-�daoe PA ed -Fd. Vents-Underflr. Access A4 -Glazing Area -Glass Protection -Skylights -Plastic lass otection 60.-S4ear-lClaUs;..Ql ing-Bolts s2._Qe&4651�Wu .ABT ce Interior/Exterior Wall Panels sulatio -W Is e W & Sewer Connected -C o Grade -HD Approv 63. Infiltration -Walls -Windows Dat Card B-1 lzoDate Card B-1 Date Card B Date Card B-1 Date FIN"laasJOK except #'s 96. teps-Door & Sidelight Protection -Landings Date. Smoke Detector Date 6F_- urnace Vents-clearanc - b, Air-Connector- ove a h. Protection Card B-1 Date Card B-1 kr-teclroy6Exiting 68. GV, & Bath F' es & Tub Access -Spa Comments at Final: aker Sizes & Lab s 71 rth Int. & Ext. pp lance, nd-Air-Gap-Cooking Clearance 14— lec. Out cep ac es at It. 7. - nnector-P.R.V. Q 7JQLLocation eteleS 0 ad, age ff.177.7-IT6—MM Protection 8 sula m -Looked in ails & Dec ruction -Po s 8P aa FTn. VBents & awl Hole Door Drainage & Wood -Earth Cl2mrfice Looked under F es -following Instld./Drive es O No/Walks(] Yes O No/Planters O Yes ii 8 V5 87 -lents Above Roof, PI ppliance :'rapl�ce-r'lo^r^nrp to Openings ound g ou ouse 9 lass otection s2._Qe&4651�Wu orrections from Previous Inspections e, b Tagged, - S 93. W & Sewer Connected -C o Grade -HD Approv 9 n Compliance Certificate -Other Certificates 9 . Address Posted 96. Fire Sprinkler Date. -(i,j Card B-1 V 16 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: insulation Certificate BUILDING OWNER: WILDING LOCATION: �� v1 ry� A (� v I �. Com• _ Description of Installation ROOF Material Coy �a Thickness (inches) / t S9C6o BUILDING PERMIT Brand Name Thermal Resistance (R -Value) CEILING3 taw/c�� Baa or Blanket Brand Name Type ' 'I7ricltness(inches) / Thermal Resistance_(R-Value) Brand Name Loose Fill Type Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL /^Jk", Zwhv✓� _ Material�7 / 3 Brand Name C7- Thermal Resistance (R -Value) Thickness (inches) RAISED FLOOR��/ 9 Brand Name 0 1^2��2'r✓�Ly� Material c Thickness (inches) Thermal Resistance (R -Value) � 1 t SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) ";_,rural Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. License Number General Contractor (Builder) /--�J /a✓i�/L-/� G� nJ5 �2.C.il �nJ Dace Signatnreand Tide _ License Number Sub -Contractor (Insulation Installer) Date Signature and Title THIS CERTIFICATE MUST -BE PROVIDED TED THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE JANUARY 1993 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042226 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/04/2004 APN• 069-330-016-000 the Business and Professions Code, and my license is in full force and effect. License Cla Lic/ense Number: � � 5�.$- Site Address: 110 RIVERVIEW DR ORO Date /U Contractor. C ��'ll j.'7 iC L / Map Index: Description: addition (540) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROMAGUERA ROB* ETAL permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a KING JENAE signed statement that he or she is licensed pursuant to the provisions of 110 RIVERVIEW DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-9421 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ROMAGUERA ROB* ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: HOWARD CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 266 LODGEVIEW DR pursuant to the Contractors' State License Law.). OROVILLE, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95966 530-589-4372 Date: Owner: License M 665450 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 540 S. F. Valuation: $35,100.00 Policy u: I certify that in the performance of the work for which this permit is Census Code: issued. 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth 'th co those provisions. rply/with Applicant: WARNING: F " ure secure workers' compensation coverage is unlawful, and sha ubject an employer to criminal penalties and one n • i ��/ .. % hundred thousand dollars ($100,000), in addition to the cost of damages for in Section 3706 the Labor compensation, as provided of code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i re i ued under the applicable( provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to 0 w indicat d above for which fees have been paid. , %tom By: :.y Name: / �t JDDad G v ° t Address: PERMIT EXPIRES N: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply th all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official orm or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. r� r Print Name: /4Aj4ZSignature: y//�i, / v Date: D Owner )(Contractor O Agent for Owner 13 Agent for Contractor r0 0 D o' ,0 BUTTE COUNTY 90 DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION V 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 9 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name/ / c� F Napo 70 /irst Address 0 /�c.� U111E City C;�/Lzz State Zip S✓/j �o Phone 3 7Z_ Fax E-mail CONTRACTOR Name Address City U . Stag Zip CJ J Phon Fax E-mail Lic. # 66 SSD Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Tip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Tip Phone Fax E-mail PLICANT SIGNATURE X:�,4 , .1 Z�7 For off se only: Zonin Property Address //V Flood Zone Cross Street // SRA WORKER'S COMPENSATION No Occ. T e Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT O I 00 BP BIN #6 LOCATION AP#o�� Property Address //V City Cross Street // WORKER'S COMPENSATION Policy Number Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ENDING AGENCY Name Address Description or Sc pe of Work: , J AJ 0A/6 Sq. Footage' C ❑ Strudtdre-Builtwithff Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. UVEK FOR SUBMITTAL REQUIREMENTS L K •1Cf1R�AC\Rt 111 rl,Alf_ A-- Receipt #: Date: '? Amount: / �_ 9 � SRA Sheriff SMIP Other Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST -BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. . 3 Site Plans, signed by the preparer. NO GR,4PHPAPER1 ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes:, ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER1 ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERl ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the'engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. 1 1. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 ' REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEE . OWNER: Uma IA�eo ASSESSOR PARCEL NUMBER Proposed Building Use: t� Counter Technician: � Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order$o apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Lefler from Engineer or Architect for truss design review. rl 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers...........................................................................:................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ Erosion Control Plan Required.................................................................... ........ ees as shown on the attached Schedule of Fees Due Sheet ................ 22. C3M7ity of Chico Plumbing permit ....................................... .......... ........I......... 23. California Department of Fores ry plan approval paid. Sent by: SF 7.ac? .04 tanning approval (A) Use:(B)Parking: (C) Parcel Check: C� ❑ 25. Contact Land Development about - Improvements, _ Drainage ......................... J26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed ofthe above items and r uireme s for obtaining a building permit. I. Applicant:�ZL� Date: 1. Index permit applicati n for the above items n" mb ed: Plan Check Lett r I I- 2. Additional iterr stere fired wtigner, igner, owner, was advised of the ve data y one, ❑ mail, ❑ coynter, by"Date: O � jffGs4 owner, w s advised of th abo a dala by ❑ phone, ❑ mail, ounter by Date: 10 Plans reviewed by: Date: Plans approved by: Ir Date Structural.reviewed by. i Date: Structural approved by: Date: ------ <N6te transfer by: Date: i Yellow: Building Division^ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) t -•� School District 1G`V 1 L L r:—"T'��:{ �'�� Building Department No. =� P A.P. Number �� X33 0. O I % Jurisdiction: City County Property Owner 1-C t~2 A4 Property Location/Address I K r V E r2 o f t�►'� Subdivision Lot No. Residential Development Q No of Living Mobile Home Units Installation Commercial/industrial 0 New Addition ................. _....... _.................................. :................................ _.... . Sq. Footage 54d. Addition/ 'Supplemental to r (Group R) Conversion Permit # *(No foundation Inspection) .......................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Building Depa nt Representative �'- District Identification,No: O �o School District certifies that 1 1 \� itreet Address) (State) has complied with the requirements of Resolution No. ,;representing s�Q square feet. School District la•4 •C4 - Date P O (Applicant) (Phone Number) 9 s (Zip Code) —C `4 by payment of $ 1 'ZJ fi'L' 2926 _ FULL MRIGATION _ Paid by Check # Remarks: (] (n Q 3 Date Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compllance with ' Government Code Section 6611120(a) widdn 90 days from the data tees are paid. Failure to submit a timely written protest wIII'prohibR you from challenging the Imposition of the fess in any court action. If, subsequent to the School Disika Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is r dlMd by the applicable Local Planning Agency that this project Is being reviewed under the California Envlronunentel Quality Act (CEQA) thW p may be subject to addiflonal school fees to fully mitigate. Its Impact on the school disbkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541- SCHEDULE 530)538-7541SCHEDULE OF RECEIPT OF FEES ' OWNER A.P. # " y'" I 33r-) 0I G PROPROSED BUILDING USE DATE RECEIPT # DATE REC. c BUILDING PERMIT FEES -Balance Due ..................... $ L.(� `►'"-�fiJ�J� --- Additional Fees Due........... $ I - Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEE5 l1 U � V - / (paid at School District Office) fo vailable fter Plan Check) q a �$f SHERIFF FEES (paid at B ld g�tivissliorii) -t-a c m•-h'a-��'� Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X -=$ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES a $510.00 (paid at Building Division) Cs� 7. SRA FIRE INSPECTION AND PLAN CHE FEE $09.00 aid at Building Division) IL'A 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are re fired to be paid prior to issuance of the permit. These fees may be changeg t an checking proc s APPLICANT -71_ DATE /Z;//O Pursuant to Govemmei�of Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) o1.1 Department of Public Works C o u n t y. o f B u t t e O ° J. Michael Crump, Director LAND DEVELOPMENT DIVISION 0 Storm Water Management Program ` 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACREI Project Description: -, t� zn / - Y D a Project Location and/or Parcel Number: //0 Ll r By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 i . • Ell im '.. I O: ' { T 9io¢ ReA Atbclyd Ute` E r Buil .' Flooa r:. FROM: ding DepaitM4nt seem to 'D "'��ad �t 14, , S Environmental Health. _- • U6.1.ECT. � ►' Sanitation Clearance r Owner //d`Je�rJiecc� Plan Approved for: Location & 9 -3.3 Sewage Disposal Clearance for _✓ � �� dwelling. OtherWater Su AP# Supply: Public ./ Private Well Hold final for: Final clearance O.K. for: NOTE: X-1), Environ ' mental Health S'�'° / �,�,�5 pecialist ,i8/96 .ri ,.��" - sYy�-..M�•= y.- 4,�y, �F �„ ror urs..".!?.` �._ .. _f' - NLE COPY 4krC 414e -le I;A'W 4 o /4, ca) r 12`t °C, AXI 4- �. p-ei 710,0/ C� L P110, SITE PLAN REVIEW APPLICATIONc� g / Date: l r 2 7- �O AP# ®� l` �G� '- O 4 Permit Number (if applicable) d - ZZ2lo Bin Number ` 2 - APPLICANT APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer. ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑T Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site n Stam Approved By = Date 21- Z_�a6 7 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) �1 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: q d� • Flood Panel No.: o� l_ Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------ ❑ Detached Building Use Form ❑ Encroachment Permit, ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 4P--1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 30t Side i l P Side Street Rear t^ 1 UV -Z^ r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees . Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify, actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By F] Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Coun Standard for De Ci�eatip No Yes , Comments: R•nc� ( a a ei"q bZ_1 e JSP 4alk IJ ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance • ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken -to control fugitive dust emissions from all driveway and other civil construction associated with residential 'development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. El ❑- Page 4 of 5 a Lel Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALxTys\Building Permit Site Plan Reviewl.doc Page 5 of 5 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042028 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/12/2004 APN: 069-330-016-000 the Business and Professions Code, and my license is in full force and effect. /3 License Number: 40, J , 6 S4SD License Class : Site Address: 110 RIVERVIEW DR ORO Date: Contractor: "" Map Index: C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: et,4.4 Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: ROMAGUERA ROB" ETAL to its issuance, also requires the applicant for such permit to file a KING JENAE signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 110 RIVERVIEW DR 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966-9421 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROMAGUERA ROB" ETAL owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:. HOWARD CONSTRUCTION and who contracts for such projects with a contractor(s) licensed 266 LODGEVIEW DR pursuant to the Contractors' State License Law.). OROVILLE, CA ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95966 530-589-4372 Date: owner: License #: 665450 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co ply wit those provisions. Date: Applicant:17Z�LCI WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor�� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is her by issued under the applicable provisions of the Butte County Coda anrtlor - I hereby affirm that there is a construction lending agency for the Resolutio work indicated abov for which fees have been paid. performance of the work which this permit is issued (Sec 3097 Civ.) , v � Name: /i%}/V , By: j Date: - Address: PERMIT EXPIRES Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document I hereby �ButteCounty.f authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Dv Signature: %� l Date: ` ❑ Owner .4-ontractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name` // irst T Address t 1 l V t4E-� V t o'j LN& City rfj U L State Zip Phone Fax E-mail CONTRACTOR Name �� W 'ry Address City u lam, StatL__ Zip q, Phones Fax E-mail lac. #-�6 Clas APPLICANT NAME AR HITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name c Address City State Zip Phone Fax E-mail APPLICANT SIGNAT RE X For offiSo u onl Zoning Flood Zone v SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. D a� BP BIN # LOCATION AP# 0'62 cl 3 0 0 t C9Ci Property Address Ito t�U\ttW v Cross Street — WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Total LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS I K:\FORMS\BIIILDiNG FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or S ope of Work: Sq. Footagea' ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received y: Amount: ' 5 b Bldg SRA RReYc/eli/pt #: 06 U— t�0 Sheriff SMIP Dater �. Other Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 .. �. a: Y,• - r:, .,.-y:... r+',r.�rz. ,sYv +'Y xf"N`ic vJ' . 5-.J ,.i;..-�.y ;1+rti:i�.i�.:yv.�-rus.�"',y::,'^�s* r: c.eil�.-�:A+ —s, «..+:..r-.._,.....,.: . � y `�d98-81 Permit#964-84 Al Kauffman 110 Riverview Dr, Or COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSORPARCEL NUMBER -; - } _ / _ •}} ZONING BUILDING PERMIT { OWNER,{{ 1 I 1 - I I} TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i - CONTRACTOR'S NAME n r I' -,\ 7 ' 1J FTELEPHONE , `r CONTRACTOR'S MAILING ADDRESS � �` 1 , r� t►�''' ( !� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ L: ,),i ARCHITECT OR ENGINEER ti LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ l -J : ,- /l BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 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 SFU' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New ❑ AdditionQ Remodel ❑ Utilities ❑ Installation❑ Other 2' Describe work: �� • '-�•�� ~ �k r- t �-- �� f 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 ADDNS. \ ACC. BLDGS. '2ypQSgft 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 m license is in full force and effect. y 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 NON-RESID BRANCH CIRC ITS 2,50 ea NEw CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES BALO3 c BAL030 FIXED APP LHS. OR FIXED A Ex. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. _ X Date Signature of Applicant — Owner E:1 Contractor ElAgentQ 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 $ , r, IPD OCCUP. GROUP I TYPE OF CONST. PARCEL HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC , By +' ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. - -1 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. i OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER. _ t UNKNOWN Fireolace TOtaI ValUatlOn $ 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 PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AOR S MP ORLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.0i) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. "' Classification ❑ 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 NNEW ON.RONSTPESID. BRANCH CIRCTITS 2.50 ea NEW CONSTR. NON-RESID. ( SINGLE OUTLET CIR. POWER APPARATUS 9 Ex. Occup_ OUTLETS OR FIXTURES g L�j (,FIXED APPLNS. OR EX. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1, /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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 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 " 9 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By` ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION' AND PERMIT �jPERRMIIT NO. / 4 " /. ASSESSO.PARCEL NUMBER _53 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILI G AD RES5 D V� COT ACTOR'S N M ny\ TELEPHONE CONTRACTOR'S MAILING AD RES �-s Fireplace CONSTRUCTION LENDER 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 $ S BUILDING ADDRESS gi +, V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 1— Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water.heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Additio Remodel Uti 'ti s F-1In tallation❑ Other Describe work: �� ` P 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 ADDNS. ( ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): JZ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full nforce Qand effect. License No. -_24�/ o°� (f - 9. 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 NON -RESIT CONSTR. BRANCH TLETIR CU ITS2.50 ea NEW CONSTR POWER APPARATUS &') NON-RESID. (SINGLE OUTLET CIR. 20e50a Ex. Occup(ourLETs OR FIXTURES DAL®3o EX. OCCUp. OUTLETS FIXED P(RESID )LISIS REA.� 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 sai unty in consequence of the granting of this permit. X �,� .,/� Date 3-�� Signature of Applicant — Owner ❑ Contractor ❑ Agent CRI 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 P HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Y Receipt No. '"f d— WHITE-D.P.W., YELLOW -ASSESS R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA110N AND PERMIT aPE 8 RCEL NUM R ASSESSO P3, -7C - � ZONING BUILDING PERMIT OWN R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO T A TOR'S NAME ,BEL, /I• C / �(JG . 533P ONE X�y C9tJToAOCTOR'S MAIL ApyZRESS l , /� AZ -05 4�111� -K//J' j7-7 /V/ Fireplace CONSTRUCTION LENDER 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 ENGIN ER'S MAILING ADDRESS Permit fee $ BUILD/�.J+, IV ADD ,/`� V Ee l,2 (4_ PLUMBING PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF LJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F1 Addition❑R-emmoodel Utiflies❑_ I �t ilatio1}❑ Other Describe work: ��Vy /�� /M/• Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. ; 22 sq ft CONTRACTORS LICENSE LAW I declar nder 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: ! 647�t .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 NON-RESID R BRANCH CTRCTITS 2.50 ea NEW CONSTR. (POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES IB50 FIXED APPLNS. OR00 Ex. Occup.(OUTLETS (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 Vder penalty of perjury (check one): E]/The permit is for $100.00 (valuation) or less.H-000— I have placed on file with the County of Butte Building Department EXa Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 90/00 d 6-00 Cooling % pv Hood 3,00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against allilities, judgments, costs, and expenses which may in any way accrue agai st aid Countq =nsequence of the granting of this permit. XCjnh4 � I �— -7- Of Applicant - Owner❑ Contractor❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ZO-06 OCCuP. CROUP TYPE OF CONST. PARCEL PD I ND I ISSUE s rmit is hereby issued under s o the Butte County Code and/or k i 'cated above for which RE TOA OF PUBLIC t PERMIT EXPIRES Date the applicable provi-Date resolutions to doSignature fees have been paid. WORKS l a 4/2/ Receipt No. S CJ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT vat COUNTY OF BUTTE - DEP NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville4-Dlii rnia 95965 - Telephone 916/534-4541 APPLICATION -0131 PERMIT ASSESSOR PARCEL NUMBER 67` ZONING BUILDING PERMIT OWNER AL eAvFF1v111,U TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR. -S NAME 4A IV IL s c . � n�v �1 K Gs TELEPHONE,- -C sF/ CONTRACTOR'S MAILING ADDRESS /7 / AL4,-'//a /Q� Fireplace CONSTRUCTION LENDER _ UNKNOWN Total Valuation s 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 I PLUMBING PERMIT Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF 0� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinklers stem y 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesr❑ Installation ❑ Othero, Describe work: /`1 L7" S�� 4- g 't- S/r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 01 OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.EI) OR ADDNS. ACC. BLDGS. 2� Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): a 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. 0 License No. �4/<'/ Classification fq—%ll7 ❑ 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 CONSTRI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR/POWER APPARATUS e NON-RESID, SINGLE OUTLET CIR. (� Ex. Occup OUTLETS OR FIXTURES 50 BAL@1 OC IXED APPLN5, OR Ex. Occup.(OUTLETS (RESID,) EA.) / 2.00 ,1,4, Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 , t_() Permit Fee $ _7, Contractor MECHANICAL PERMIT Filing Fee 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. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of. the granting of this permit. & X /r�LG�f�l�xa Date /_/?`� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ To OCCUP. GROUP TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions pf the Butte County Code and/or work' indicated above for which RECTOR OF PUBLIC B� PERMIT EXPIRES Date G//t the applicable provi- resolutions to do fees have been paid. WORKS /Date 2- Receipt No. J 361'5-4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal 95965 - Telephone 916/534-4541 APPLICATI N AND PERMIT PERMIT NO�/ ASSESSOR PCEL NUMBER �p ZONING BUILDING PER T oW ✓ k / /( r � F -F. ^,� +y /-Y� TELEPHONE SO. FT. OCC. BUILDI ALUATION OWNER'S MAILING ADDRESS CON RACT-O$S NAM EPH0 533- CONTRACTOR AcCs ADDRESS 17-1 AVE. 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE EF3n/ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD I�1 eDDRE$$�V �i� /�/UU iCK ✓Ui/ V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 /� (JA?�Iavluz Water piping LOT NO. SUBDIVISION NAME 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑tilities_D �lnstallat� ❑ Other L`� Describe work:_�T S/G ��` / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 5.00 S -o0 Main service EA. ADD'L 100 AMP 2.50 _St:> NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP.y' 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. p l+- License No. -!14% %d� Classification - L' �a ❑ 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.oU LET 2,50 ea NON RESID BRANCH CIRC TS NEW CONSTR ( POWER APPARATUS 6) NON.RESID. SINGLE OUTLET CIR, Ex. Occup o 50 @ 250 OR FIXTURES BALP100 IXED A IXED APP LHS, OR Ex. Occup. UTLETS (RESID,) EA. 2.00 (� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ r0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation _+ Permit Fee 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue said Count in cons quence of the granting of this permit. %� Date @ `��i�� aFature Sof Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in h 'ght. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , 00 OccuP, GROUP I TYPE of CONST. PARCEL PD ND I ISSUE This permit is hereby issued under sions f the Butte County Code and/or wor i dicated above for which I CT+OR OF PUBLIC By PERMIT EXPIRES Date 6 /� the applicable provi- resolutions to do fees have been paid. WORKS Date �% O 2, L3 Receipt NO. 7 3 S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �XTG, (3E� RtV� Q t � t s� E�c�rc,. �►Trl 0.�v�i ; A � - i �oR Acrc r;�s PQOPos0� j 14 kLL- ,,;, , .s n•kirti -O F—XT&. RE -t- RAO. y C. R ;s 'uv� E 1:69TO6. To 04 A�t�dtE p 5 � � (6540 5 ENVIRONMENTAL HEALTH LppojecDDF-o ENVIE uL 16 20 N of ERT ROMt�Cs RA •�ENAE APPROVED BY: 7 bifiTy CENTA DRIVE DI►TE : "y ? COUNT`, C-LVIi kR ®RIVE. Ito RiVF.R vt,w Of�uic.��CA %�� No cco9_ 330 "° DRAWN MY . REVD . 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