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069-380-015
X069;X380,'015`"��PERNII77 T#96�016u , , �VALDOVINO;,Rariferris &'.Debbie- •.,���. .: BREEDLOVE, H.A. 1512Bf Yi.I ,1539E hid 240 Rive rvew$Dr, , 0'r oville t ; ,.„Cont;- Keith Orman Roo._fin� ' r %'" ''Reroof/SF 4{.��_'� �`+ •'/' `31 ��I9�° 4-22-1:i� .moi t ->0 w/s Riverview Dr. approx. mile o, y �`„ ".x �'f ,• -t '�`i:.'`.kz a� ;�'•- , t..., a _ Oro -Quincy Rd . , Oroville /'Q 0 V;JL.. } PERMIT#97 0481. v� t'`= .069-380-015` �, ---- VALDOVINOS Ron"'�&7rDebbie r _ X240Rivervi6i' Dr .;' Oroville' /] `'A'dd7Open Deck/SF"` 'wx a ,069-380-015 V;., f.Y x 0471374,"' I.VALDONINOS,}DEBBIE ; -.t -4, - 240 RIVERVIEW<DR,"OROVILLE� -., . + ri.C6nt: MARY, L"AVY- " GUNITE POOL ' • ' + ' 1 , k f ■■' f l� } ' 1 1 4 cr) '., cvml) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041374 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: 06/03/2004 APN: 069-380-015-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: l� Site Address- 240 RIVERVIEW DR ORO �Date:LContractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: IN GROUND POOL (480) MASTER 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: VALDOVINOS RANFERIS & DEBBIE A 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 240 RIVERVIEW DR 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 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).): O I, as owner of. the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: LAVY, MARK AARON 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 P O BOX 536 year of completion, the owner -builder will have the burden of BIGGS, CA 95917 proving that he or she did not build or improve for the purpose of sale.). (530) 846-5500 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: LAVY, MARK AARON pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code P O BOX 536 BIGGS, CA 95917 Date: owner: (530) 846-5500 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 775769 ❑ 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. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: 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 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 Census Code: become subject to the workers' compensation laws of California, and. agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith corn y with thprovisions. 3 Date: Applicant: 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. �/ /S�O / / CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisionsofthe Butte County CodR znrUor I hereby affirm that there is a construction lending agency for the ^Y Resolutions to do work indicated above for which fees have been.paid._ _. _ ,4 performance of the work for which this permit is issued (Sec 3097 Civ.) 3 oY Name: By: Date: f � Address: PERMIT EXPIRES ON: w Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled nstruction of 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 ly a horized ent o the o I agr comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an ffici form or um of Cou ereby authorize repr98Ntatives of Butte County to a ter upon the above mentioned property for inspection purposes. Print Name � 1(- E C J Signature: Date: _3—�,' /5,Owner 13 Contractor O Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP p4/ 3.74 DATE APN: , O I ZONING: P OW ER' LAST NAME: OW E 'S FIRST NAME: PHONE aP S R R SS FAX CI E-MAIL SITE ADDRESS' CITY, ZIP: . . NEAREST CROSS STREET: T APPLICANT NAME: °NE STRE DRE FAX C E-MAIL CONTRACTOR NA PHONE: d— S� STREET ADDRESS:F i CITY, ZIP: E-MAIL: LICENSE NUM ER LI NSE TYPE ARCHITECT/EN INEER NAME: PAWNE: STRE ADD ES : C NUMBER: i -MAI DESCRI TIO SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) LOIE:>:X X82_ C_ S2 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 fees will be required. 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. For office use only: Notes: Application Received by: l' Date: 5. 14. 0* Receipt number: 6�� Amount Received: 44,7 q.Z Xr�r'.�.a.:.l'.`` ._; .y.7.+'.' Tt +u �_" .:�✓rY tF'�, e.v'`"t+:�,''= w'K' .a-di1M'-,.. .;f•��r'i"'p..'.�,ir+r'^"f�" ira`i'.'►"Z',y"^'�hn{.7iy:..jN.'].•„�TIE;r�„ �w�^y'Y.tif *e�"F-K:J�.- ...� 1 .• . BP04-/374- 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 SHEET 380 OWNER: VA l _ D o rl r n16 ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: ,. Its required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plansoor 4 sets, signed by the preparer of the plans. . O 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. :5p 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. Letter from Engineer or Architect for truss design review. ❑ 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 frld 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. 0 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 .................................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23 California Department of Forestr Ian a royal ❑ aid Sent b a P y p pp p . y. ............. 0- 24. Planning approval (A) Use: �(B)Parking: (C) Parcel Check: 1 9 -r-:L-7- " ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........ ........ I........ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... y ❑ A. 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 Telephones-,/sAS4 (, .:f?500 and hold for pickup. I have been informed)fh9 aVve�i e' and requirements for obtaining a building permit. Applicant: Date: �� C4- 1. Index per ap ' e+ enumbered: Plan Check Letter 2. Additional items r uired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by -40C -4--f1`7 Date Note transfer by: Date: Yellow: Building Division E.M. USE 014LY Piot Plea Attached tell Rear Ptaa Attached Sam to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Vx7,-bn A,)1AJ0S (525/0 %G�i✓exe.✓<e"i 04e9� Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other �itJ9.�r�U�•c3 �oo Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 ecialist Date At/^A� (' r .til ��G21 - ��C�. _ c f)G `�� e At %3 f'DK �G- 7- CDN c`c,�q� G,C/�/ tc 7ZUtiJ (,(till r�2 At I Lis ,eE- Go' ,-IR2.a-�-jle--� r RESIDENTIAL 069-380-015 PERMIT#97-0481 VALDOVINOS, Ron & Debbie I 240 Riverview Dr., Oroville Add Open Deck/SF /9 JOB FINALED (Date) — Signature V=OK O = Not OK •=NottRealdyble 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /'Vft. / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demanda/ahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date DECKS COVERS, CARPORTS, GARAGES(Plans) OK except #'s 3 ning- Requirements -Setbacks -Easements ti Soils-Size-DepthSpacing-Conn rs-Steel ecks; s and/or J ' is -D g-Bracing-Sta' 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 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 !(//IZf7 CardB-1_777P 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ p Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; Soils -Steel-/ P' 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. Pienums & 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 E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. 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 Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 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. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace 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-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: X X X, COUNTY OF BUTTE- DEPARTMENT'OF'DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541PERMIT (Rev. 12/96) APPLICATION AND PERMIT--�-%—" Q'9k1 ASSESSOR PARCEL NUMBER 069-380-015 ZONING UILDING PERMIT OWNER�2 ron & debbie valdovinos Two — 943 SO. FT. OCC. BUILDING VALUATION' OWNERS MAILING ADDRESS 240 RIVERVIEW DR OROVIL•LE, 95966 f . 00 D o -_- 3 0 CONTRACTOR'S NAME OWNER/BUILDE&R TELEPHONE C CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS 240 RIVERVIEW DR Energy Plan Checking Fee $ OROVILLE, 95966 PERMIT FEE S 138.80 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT - Flling -Fee " 20.00' USEOFSTRUCTURE SF P Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Y Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 OOOV OR LESS Main Service AORLESS 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.POWER 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. S° 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. AN 97.50 APPARATUS T C d SINGLE OUTLEIR. Ex. Occup.OUTLET OR FIXTURES'R 20 @ I.00 BAR- .ao Ex. Occup. ourELETS AESIo°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEB S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 erthw'th omply wit those rovisions. ` X ���/// Date i A2e�al�-7 Sig ure pplicant 71C—Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionQ of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 138.80 HAZ. ,., D. FEES IMP FLOOD CDF PARCEL -r pp ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. y D e q� p G Dale Receipt No. 210251 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,.. .-...•rfE•:+^., ;x-..,cs^,.a,-.-`r:....,t_r-�'fvtgr.7;1^_ai•,F'�rL'I.�w.?i.-.r-r•rsr.•F.�'�,,i ,t , r COUNTYOF BUTTIE - DEPARTMEN-T?5F DEVELOP&fENT SERVICES - BU ING DIVISION 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA 95965-TELEPHON 916)538-7541 OWNER Vu -1 ( Proposed Building Use PERMIT APPLICATION DATA SHEET l y1D S 4 c107) .AnB,Nn C7yrkr Building Inspector Date At time of permit application,,) was advised the following data must be submitted prior to permit pfocessing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ ` 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year flo? by.pplifornia Engineer . ............:... . Sanitation and plot plan approval t 4 Health Department. .. -3� /e/3 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. tiest Pre -inspection for Preansing Ins re for required. . . to Building Inspector, (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ..................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ............................... 32. Plan check list. ............................... 33. ' 34. Wheryyou,issue thepermit, process as follows:ail to o te7r Mail to contractor. Telephone g- 3 andhod for pickup a (tsli office. Deliver with inspector. Other ; Parcel Creation Acreage �•. Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun er by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 02q 0 I c�,eaevioo Z")Z. _ Owner Location c�'L6 Plan Approved for: Sewage Disposal Water Supply: Public Clearance for dwelling they Hold final for: Final clearance O.K. r: E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D./2;; (J(�f-3PO O/sem AP# Private Well 8/96 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and - return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until -this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement : YES NO[ NO[ ]. ' .2. I HAVE['] HAVE NOT[ J signed an application for a building permit for the Proposed work . 3..I .have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY• PHONE: . CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: � DATE: 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 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: I _ 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 tax withholding, federal social security taxes, workers compensationinsurance, 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 structiire 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 "ownerbuildet" 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. be obtained by contracting the Contractors State License Information about licensed contractors may Board in your community or at 1020 N Street, Sacramento, CA. 95314. 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 nSerel Michael C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This 0%�-ner-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER =_2 COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ��� , 3$� -c> (5 ZONING BUILDING PERMIT aL /�i lG V L�� �%//�% T/EL�EjPHONE n J O � y SO. FT. OCC. BUIL LNG VALUATION 45; 540 OWNERS MAILING ADDRESS D ov a l� Q CONTRACTOR'S NAME ' —t3UIL ii TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Flr@place LENDER'S MAILING ADDRESS - — Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ e eLnLDINGADDREss � (� ` J It: a 1 W \ n ` )//` c/ Energy Plan Checking Fee i S ' O izo v% 1, l is C - A -S9 4 6 PERMIT FEE $ LOT NO.� SUBDIVISIONS NAMEE WLLZr V'' W 14 f: PARCEL MAP ' PLUMBING PERMIT 'Fling Fee - 20.00 Each Trap 7.00 USE OF STRUCTURE - SF�l Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition, Remodel 13 Utilities ❑ Installation ❑ Other ❑ Re Describe Work: p, (C,- — I? crD "1'0.5 t-, Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 00A OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter r . 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 Lfor 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. ❑ I 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.) 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 with c m If with thoo provisions. XV o V) 0AX ate M A 2 C 14 11 159 7 SigZire-15T-7�p Ic nt - Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service YOGA TO 4DWELLING.00 NEW CONST. DWELLING OCCUP. SO CCU So OR ADONS., ( . NEW CONS :- MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIA. 20 p 1.00 Ex. Occup. OUTLET OR FIXTURES SAL_ Q .so Ex. Occup. OUTER REs o,OE& 5.00 Temporary 'Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE AL FEE $ , HAZ. D. FEES IMP FL000 COF PARCEL PO HD ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have bn ee P. By Date PERMIT EXPIRES ON provisions to do work paid. - ro Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 16 lk A, 4- t69±3 80-015. 1-1�4'KPERMIT#96-0165'�Vt jl ir `ALDOVINO-,'4anfefifsl &lDeibbie'*" t'�,'240 Riverview Dr.','-,Orov*il-lWR Cont:l-Ke-ith" Oriliin Roofing 1 9 0 - f/SF�+''� �r, �'a3 1,� 7 0000"OO� ...7.7.1.1�4F- I..�'�S'i . ^"r�3..L.F •1 -MR i "^ '"' - :.,,,, r _ -^^ +,mow► ��-. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI ~ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754i` ,. APPLICATIOAANDITERMIT ASSESSOR PARCEL NUMBER — 0 ZONING BUILDIN PERMIT OWNERTEI.EPHO"E /" ✓r C � J.t14 U,- �� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS -. 2 vo v f �{/y G 60 CONTRACTOR'S NAMETELEPHONE l p 6' -.2400 �.. CONTRACTOR'S MAILING ADDRESS i- j r r / S `— Y -\.L ! Fireplace CONSTRUCTION LENDER UNIWOWN TOtaI V Iuation $ LENDER'S MAIUNG ADDRESS Fling Fee 1 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. _plan Che'king,Fee $' ARCHITECT OR ENGINEERS OkIUNG ADDRESS Energy F%n Checking Fee $' Penalty $ BUILDING ADDRESS/� 441S e / � (J✓d t/r l PERMITFEE v�rdd PLUMBING PERMIT Filing Fee 20.00 Each Trap' . j , 7.00 LOT NO. S UBDNIS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other " , , I SPECIFY Water piping 15.00 Each gas water heater or vent 15,00 Ga piping system A - 5, outlets 15.001 Bui ing wer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: n —_ P ,inT �nl. i,C% Mobile ome IS I dT W @20.00 PERMITFEE $ Contractor ^ti ELECTRICAL PERMIT Filin6 Fee 20.00 Main ServiceEOOv OR LESS ( : ' 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 ['- 3 Lic. No. (� 7 S OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed, contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. s0. OR ADDNS. ( & ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON±R 10. ( BRANCH CIRCUITS ) 97,50 POWER A ) d SINGLE OUTLEUTLE uT CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL 0 .so Ex. Occup. OUTLEEDrsPa sID.0ERA 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: ❑ 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. (9 I 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 `� t -q -t e (.n , fir- i _ � 7 �/ MECHANICAL PERMIT i. Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number i-"%5 1S"lyS (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' 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. X r ,_ <_�'r •^ _ Date _/�/ % Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST- TYPE TOTAL FEE $ l , HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUEcompensation 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 (Date) e Receipt No. i / /� I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 .County Center Drive - Oroville, Calrnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER O - 380-D ZONING BUILDIN PERMIT OWNER ✓r ' TELEPHONE`i SQ. FT. OCC. BUILDING VALUATION OWNERS MAOJNG 7E.. WC Sas a 0 CONTRACTOR'ME 11 ormaki 0o . 'tet 9 TELEPHONE 6 -.2_(p08' CONTRACTOR MAILING ADDRESS Q JAS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ -W ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS n o` y�LleY ve PERMITFEE $ !� 0Q PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LCT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ 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 ❑ UBlities ❑ Installation ❑ Other ❑ Describe Work: /COyh� e ll�r7 1 —� Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 • Main Service600V OR LESS ( zooA 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 C- 39 Lic. No. 6 9 y3 $'3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO, OR NS. ( 8 ACC. ) 3.5¢ FT. NEW CONST. UTLEBLDS MULTI.OTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. 20 Ex. Occup. (OUTLET OR FIXTURES ) (+.50 BAL 30 Ex. Occup. ouTLETs (RESID) ( ) 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. P( I 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 worker compensationj,� insurance carrier and po�licy+y number are: / Carrier &-t-1te (_nrr�!% ti f'd/� Ll�l$(�yQyC2 f lyd MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number /S/� �� $'^ s (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 forthwith comply with those provisions. X �____ _ Date _/ / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen 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 $ HA2. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMITEXPIRESON /v-���197 (Date)/ Receipt No. J&111 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 N t,D REORDER FROM CALIFORNIA SURVEYING 6 DRAFTING SUPPLY 1-800-243-1414 I' i� , �i } APPROVED Mark Lavy- Construction.Ser-vice.Supplies " Con. Lie. #775769- +� r -_ 867 Highway 99, Gridley, CA 95948 P.O. Box 511, Biggs, CA 95917 (530)846-5500 office, (530) 846-9577 fax POOL SPEC (CATIONS L� ERIMETER R A �q. ft. DEPTH TO VOLUMGALS. CONSTRUCTION SPECIFICATIONS RAMP SHALL /DEEP SWIMOUT x LOVESEAT x _W WALKOUTj� x EXCAVATION (COPING/CANTILEVER) FENCE: DOWN BY UP BY HOURS OF GRADING LOADS TO DUMP STUMPS LEAVE/HAUL CONCRETE: REMOVE `�+q. ft. (^ S-TEEL/GU N ITEM LE/PLASTER (VORTEX RAISED BOND BEAM "' FT. x = height RAISED BOND BEAM = FT. x he -' t 00 DECK TIES TILE COLOR OF PLASTER CAP FOR BOND BEAM CAP FOR RAISED BOND BEAM SPA — xI LENGTH OF DAM C� FOD, -SPILLWAY i A PLUMBING SPECICATIONS �� POOL: NO. OF RETURNS,(MAIN DRAIN SIZE SIZE OF_SUCTION LINE ,�PM SKIMMER — SLIDE"'�� Flll LINE FOUNTAIN.LINE —ft. SOLAR HEAT'T"' POQ. CLEANER M % REVERSEFLOW FLMG. _ DIV. BRD. = PRONG JIG SPA MAI '.DRAIN S1,Z °" NO. OF JE LIGHTETURNALVE TYP NOTE: ALL AIR LINES PLUMBED BACK TO EQU . (1") UTILITIES ELECTRIC BY GAS BY P L DECKING SQ. FT. TYPE FINISH"-d-� FOOTINGS Z.-=��,,x. `MASTIC ,(A ® DIVIDERS: TYPE GAVIVIIR1 DRAINS D 1'L? ``-=(✓ ,�� ` RISERS _ ft. POOL EQU PMENT FILTER: TYPE ,-n —� SIZE PUMP: TYPE .`:J t SIZE Z1,5 HP HEATER: TYPE 1. SIZE �0008TU BLER: TYPOOL CLEANPER TYPE BUIL ER NOT RESPON FOR CO CRETE SHRUB- SEPARATION TANK-`— ' BERY D / OR UNDERGRO TRUCTIONS IN POOL ACCESSORIES ACCESS THE UNDER NED APPROVES THIS RKING PLAN LIGHTS: POOL J_ SPA ' LENSE KIT �? AND ACKNOWL ES RECEIPT OF COPY: BOARD = BOARD STANDARDS - SLIDE `m `y STRT./LC/RC COLOR - A WAVE POOL ES ED S CI LLY FOR GRAB RAILS/STEPS DDER `�" HANDRAIL POOL CLEANER TYPE OC2M P.. �) VACUUM HEAD AND f— FEET OF ALESMAN MAINTENANCE IT AND LE MAP BOOK PAGE: + DRAWN BY CHECKED BY TRACT NUMBER: LOT NUMBER: r n m f 1 + lot m8tv 5/ Bi f5 7 4-�` E C° "s oN BUILDIPIG DIV►AP l FROM CALIFORNIA SURVEYING d DRAFTING SUPPLY 1-800-243-1414 0 t v 1 l 1 0 PLANNING DIVISION - BUILDING PLAN APPROVAL Use: Data: - Parking: Landscaping: Other. _ Signature: "T o,= l-,' Mark A Lavy Construction -Service -Supplies Con. Lie. #775769 867 Highway 99, Gridley, CA 95948 P.O. Box 511, Biggs, CA 95917 (530)846-5500 office , (530) 846-9577 fax BUIL ER NOT RESPON FOR CO CRETE SHRUB- BERY D / OR UNDERGRO TRUCTIONS IN ACCESS THE UNDERS -NED APPROVES THIS V CORKING PLAN AND ACKNOWL ES RECEIPT OF A .COPY: WAVE POOL CIES, S . Cl LLY FOR E IMILM /610 ALESMAN rmmis DRAWN BY CHECKED BY Pu_UmBITgG SPECIE CATIONS POOL:.NO. OF RETURNS. MAIN DRAIN SIZE� SIZE OF,SUCTION LINE: , M SKIMMER SLIDE '� FILL LINE FOUNTAIN.LINE ft. SOLAR'•HEAT'T's4PC CLEANER REVERS( -FLOW PLMG.b—/DIV. BRD. —1m- PRONG JIG SPA MAI ',DRAIN SIZ E� NO. OF JE LIGHT ETURN M ALVE TYPIN A Imox NOTE: ALL AIR LINES PLUMBED BACK TO EQU . (I") U- TWITI.ES ELECTRIC BY idd219 GAS BY P L DECKING ( N..E%yER f ) i SQ. FT. TYPE FINISH "�-d-� FOOTINGS x = x = MASTIC DIVIDERS: TYPE GROOLP-42 DRAINS - RISERS POOL EQUIPMENT FILTER: TYPE _ SIZE PUMP: TYPE SIZE HP HEATER: TYPE SIZE �� OOOBTU BLOWER: TYPE E -•®' AMPS POOL CLEANER TYPE 0 SEPARATION TANK® POOL ACCESSORIES LIGHTS: POOL j— SPA� LENSE KIT BOARD = BOARD STANDARDS SLIDE STRT./LC/RC COLOR GRAB RAILS/STEPS DDER `�' HANDRAIL POOL CLEANER TYP/1'tl�. VACUUM HEAD AND FEET OF MAINTENANCE KIT A D LEdll S. MAP BOOK PAGE: TRACT NUMBER:! LOT NUMBER: POL SPEC (CATIONS �� trf l� ERIMETER R A�CI� k . ft. VOLUME GALS. CONSTRUCTION SPECIFICATIONS r RAMP SHALL /DEEP- SWIMOUT x LOVESEAT x WALKOUTj� :� /rDEP'0;141rTO EXCAVATION (COPING/CANTILEVER) FENCE: DOWN BY UP BY HOURS OF GRADING '�� LOADS TO DUMP SUMPS LEAVE/HAUL CONCRETE: REMOVE `�sq. ft. S'fEEL/GUNITE/TILE/PLASTER (VORTEXF RAISED BOND BEAMFT. x = height RAISED BOND BEAM = FT. x he' t DECK TIES —' TILE COLOR OF PLASTER CAP FOR BOND BEAM CAP FOR RAISED BOND I fj{ x -- LENGTH.OF DAM C F U:.' �� SP L ©Y -a.? _ ► BUIL ER NOT RESPON FOR CO CRETE SHRUB- BERY D / OR UNDERGRO TRUCTIONS IN ACCESS THE UNDERS -NED APPROVES THIS V CORKING PLAN AND ACKNOWL ES RECEIPT OF A .COPY: WAVE POOL CIES, S . Cl LLY FOR E IMILM /610 ALESMAN rmmis DRAWN BY CHECKED BY Pu_UmBITgG SPECIE CATIONS POOL:.NO. OF RETURNS. MAIN DRAIN SIZE� SIZE OF,SUCTION LINE: , M SKIMMER SLIDE '� FILL LINE FOUNTAIN.LINE ft. SOLAR'•HEAT'T's4PC CLEANER REVERS( -FLOW PLMG.b—/DIV. BRD. —1m- PRONG JIG SPA MAI ',DRAIN SIZ E� NO. OF JE LIGHT ETURN M ALVE TYPIN A Imox NOTE: ALL AIR LINES PLUMBED BACK TO EQU . (I") U- TWITI.ES ELECTRIC BY idd219 GAS BY P L DECKING ( N..E%yER f ) i SQ. FT. TYPE FINISH "�-d-� FOOTINGS x = x = MASTIC DIVIDERS: TYPE GROOLP-42 DRAINS - RISERS POOL EQUIPMENT FILTER: TYPE _ SIZE PUMP: TYPE SIZE HP HEATER: TYPE SIZE �� OOOBTU BLOWER: TYPE E -•®' AMPS POOL CLEANER TYPE 0 SEPARATION TANK® POOL ACCESSORIES LIGHTS: POOL j— SPA� LENSE KIT BOARD = BOARD STANDARDS SLIDE STRT./LC/RC COLOR GRAB RAILS/STEPS DDER `�' HANDRAIL POOL CLEANER TYP/1'tl�. VACUUM HEAD AND FEET OF MAINTENANCE KIT A D LEdll S. MAP BOOK PAGE: TRACT NUMBER:! LOT NUMBER: