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069-470-052
1� .P 669-470-052 PERMIT#97-0628•'` RUPP, W. S. .1435-71B* 1426=71B JACKSON, John 18 Sunset View Ln:, Oroville IqO '7 71P Cont: Cook & Son Builders - 1351-7 1E-6 Add_ Dining Rm/SF//(Jfl�. '�� 4-46-52 18 Sunset View Lane, Oroville 069-470-052 -� PERMIT#97-0964 CONTR: Butte Const., Inc.: JACKSON, John & Jackie ('new single ly). (*addtl, footage)I 18 Sunset View Ln., Oroville� Cont: Connolly Professional /,� a1�� Reroof/SF �I) II SCRIVER, Lyle 473 34-4�-52 s/s Sunset View Lane app 200' from ylin Blvd . , Or oville (addition) 1 i � � � - � �. `REtt-IDENTIAL 069-470-052 PERMIT#97-0628 JACKSON, John 18 Sunset View Ln., Oroville Cont: Cook & Son -Builders Add Dining Rm/SF I a _ JOB FINALED' (Date) Signature P l {7E 1. _ a _ JOB FINALED' (Date) Signature V=OK O = Not OK Not `=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer, Location-Test-Fall-Ci"oncrete 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 4. Water, Location -Test -Easement Needed (Sketch) 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ /"L"ft./ /LPG 11. Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance -GR 3. Gas; MH Test -Demand Valve -Connector 5. Elec.; Pool Lighting; 15 Volts -GA 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date 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; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 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-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts -GA 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 Lghtgq. 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 NDERFLOOR (Plans) OK except #'s ng-Setbacks-Easments-Flood-Slope Ftg., Main; Soils-Elec. Gmd.-/ Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Z Cj % Card B-1 Date Card B-1 Date Card B-1 Date - Card E-1 Date A PLUMBING (Permit) OK except #'s Water Htr; Vent -Access -Combustion Air Baffle iq Water Pipe; Test & Anchor -Nail Protection 11. D.W.V.; Test Fittings & Anchor -Nail Protection . Shower Pan; Test, First Floor -Tub Access 1. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors ra op in Walls (rat proof) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ,-'ELESPICAL (Permit) OK except #'s Fi & Transformer Clearance -Ins. Protection & Switches at Doors & No. of Conductors $6/Romwrhstalled Close to Edqe of Studs & C.J. Z7/Equip. Ground made up w/Mech Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size GFI Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 39-f3Tn_je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No iser Conductors & Ground -Main Disconect quip. Clearances Panels-Motors-Mech. Epuip. e29'"CZ1res Closet Light -Shower Light -Spa Light _849m—oke Detector Date _fRAMING (Continued) 06."Hangers-Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. F' or Type A Flue -Fireplace Throat clearance �ffis Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions ge Fire Protection Framing roperty Line Firewall & Openings eZx1'62%s_0ne 3 -Check Garage 3rd Story, 2 Exits �4i�d on Roof Overhang -Attic Vents -Rafter Outriggers _' -Nailing Veneer q % Mesh -Dnp Screed -Fd. Vents-Underfir. Access Panels 62. Infiltration -Walls -W indows Date Card B- Date Card B-1 Date Card B- Date Card B-1 Date ,,FfNAL (Plans) OK except #'s Ex�ps-Door & Sidelight Protection -Landings dwlsmoke Detector 6 rnace; Vents -Clearance -Comb, Air-Conector- In Gara e; Above Floor-Ducts-Mech. Protection edroom-Exiting FI & Bath Fixtures & Tub Access -Spa tL Elec. Trim & Subpanel, Breaker Sizes & Labels tairs & Rails fireplace or Stove, Clearance -Hearth lec.,Qvdets at Wood Panel, Int. & Ext. it. Fixt. _ ppliance; Ground. -Air Gap -Cooking Clearance Vic. Outlets & Rece ticales at Kit. Counter . Gara gFire Door; Swing -Landing -Closure C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection Ib., lec. & Mech. Equip. Listed for Location lec. ece tacles in Garage G.F.I. -Romex Protection nsul ion -Foam -Looked in Attic . Gurails & Deck Construction -Post Caps c1 — — i VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Driv ( Yes 0 yo/v"s 0 Yes 0 No/Planters 0 Yes 0 No Disconnect, Electrical -Plumbing LS . en bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings Wat ell, Disconnect, Electrical, Plumbing xt Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throuaht House r9�Corr oris from Previous Inspections Gas T t -Meters Tagged, Gas -Electric at ewer Connected -C/O to Grade -HD Approval ,g3 -'Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35 A.C. Ducts Insulation & Support 3q. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fur ce-Vent Access -Comb. Air -Return Air Vent 115 outlet 9 ttic 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 40 itsP per Materials & Anchors 41W<tuds-Nailing Spacing & Braces -Plates -Sound Be 'ng Walls over Girders & Floor Nailing ra op in Walls (rat proof) imps, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date _fRAMING (Continued) 06."Hangers-Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. F' or Type A Flue -Fireplace Throat clearance �ffis Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions ge Fire Protection Framing roperty Line Firewall & Openings eZx1'62%s_0ne 3 -Check Garage 3rd Story, 2 Exits �4i�d on Roof Overhang -Attic Vents -Rafter Outriggers _' -Nailing Veneer q % Mesh -Dnp Screed -Fd. Vents-Underfir. Access Panels 62. Infiltration -Walls -W indows Date Card B- Date Card B-1 Date Card B- Date Card B-1 Date ,,FfNAL (Plans) OK except #'s Ex�ps-Door & Sidelight Protection -Landings dwlsmoke Detector 6 rnace; Vents -Clearance -Comb, Air-Conector- In Gara e; Above Floor-Ducts-Mech. Protection edroom-Exiting FI & Bath Fixtures & Tub Access -Spa tL Elec. Trim & Subpanel, Breaker Sizes & Labels tairs & Rails fireplace or Stove, Clearance -Hearth lec.,Qvdets at Wood Panel, Int. & Ext. it. Fixt. _ ppliance; Ground. -Air Gap -Cooking Clearance Vic. Outlets & Rece ticales at Kit. Counter . Gara gFire Door; Swing -Landing -Closure C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection Ib., lec. & Mech. Equip. Listed for Location lec. ece tacles in Garage G.F.I. -Romex Protection nsul ion -Foam -Looked in Attic . Gurails & Deck Construction -Post Caps c1 — — i VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Driv ( Yes 0 yo/v"s 0 Yes 0 No/Planters 0 Yes 0 No Disconnect, Electrical -Plumbing LS . en bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings Wat ell, Disconnect, Electrical, Plumbing xt Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throuaht House r9�Corr oris from Previous Inspections Gas T t -Meters Tagged, Gas -Electric at ewer Connected -C/O to Grade -HD Approval ,g3 -'Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF -DEVELOPMENT SERVICES - BUX8-754 N 7 County Center Drive - Oroville, California 95965 - Telephone (9OP,�Rr TNf(Rev.12/96) APPLICATION AND PERMIT(� ASSESSOR PARCEL NUMBER 069-470-052 ZONING A BUILDING PERMIT OWNER OHN JACKSON �1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 18 SUNSET VIEW LN., OROV�LLF, 71 R 3834 CONTRACTOR' NAME CONTRACTOR 4 4o-.- %gv(i eli TELEPHONE ' :3 2 TRACTORS ADDRESS CONMAID Urs 5�` CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 18 SUNSET VIEW LN., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition)d Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DINING ROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service iuonoa.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in force and effect. !/ �J License Class Lic. No. 7�% / �p 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ACDNS. ( a ACC. BLDS. SO 2.45 3.50' NEW CONST. MULTI -OUTLET NON-RESID. ANC 07.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES Bql I,SO Ex. Occup. OFIunFrs A� o,DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 22.45 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE 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, 1 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' compensatio provisions of section 3700 of the Labor Code, I shall forthekit omply with ose provisions. X __ Con __ Date - / � Signature of Applicant - 123Owner tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 2 5.40 HA2.E . FEES IMP FLOOD X C pqR pp D This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON sfe provisions to do work paid. 1#7 Receipt No. 210369 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BU ING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,-CALIFOIZNIA 95965 - TELEPHONE 6) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: to Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 134. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 1 V Fees of $ ------------------------------------------------------------------------------------- Impact fees�,[ California Department of Forestry plan approv 1/fees. - -` 13 . F elevation certificate. -------- --------- -- - - -------------------------------------------------------- 4. Sanitation and plot plan approval Health Department. ------------------------------------------- 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.------------- 1119. ------------ ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------- ----- ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- 3� _ (Date) 1129. 9433 A, ❑Grant Deed, ❑ M. e ❑ Check to H.C.D $ ,, . --------------- Other: When you issue the se�rmit, process as follows ❑ Mail to owner, ❑ ail to c QQactor. Telephone 3'c�30 �-- and hold for pickup at UrO tl i ` office. eli inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ AAP61lution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: on ac , designer, owner, was advised of the above required data by tsxphone, ❑ mail, ❑ Building Division counter, by Date: 7 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Build' D' ision counter, by Dte: Plans reviewed by: Date: Plans approved by: Date: /`7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY,, Plot Plan Attached Floor Plan Attached Sent to B.D.— TO: .D.— TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance //0— --) ZA1 Owner Location 64�,AP# Plan Approved for: Sewage Di sal ;�Water Supply: Public Private Well Clearance for dwelling.(O her (✓ //A_/�/�/G �� ��/7/6� Ho!,O.ffinal for: Final clearance O NOTE: fo vironmental Health Spec 8/96 Date `C -COUNTY OF -'DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Q�, `�% n 7 County Center Drive - Oroviller California 95965 - Telephone (916) 538-754 0� PERMIT NO. (Rev.i2/9�6\� APPLICATION AND PERMIT ?S ASSESSORS CE}�NUMBEA ,Y� J �� FVV)) l/(/J ZON7M BUILDING PERMIT OWNER - // Gl /1 cx c TELEPPHO'NE SO. FT. OCC. BUILDING VALUATION �►� i"'°TRESS LL COIQR•S NAIAENN tel" TE ONE CONTRACTOR'S AYVUNG ADDRESS .'.W►t9TR1�C?SOM.NDER Fireplace LENDER'S MAIUNO ADDRESS Total Valuation $ ARCHITECT OR ENDINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ SULDINOADDRESS Energy Plan Checking Fee $ $ �Is v It e PERMIT FEE $ Cp IAT No. SUBDNLSION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE. SFDuplex ❑ Mobilehome ❑ Other • SPECIFY Solar or heat pump water afar 23.00 Water piping 15.00 Each gas water he r or vent 15.00. TYPE OF WORK \ / New ❑ Addition ❑ Remodel 13lities ❑ Installation ❑ Other &7 Describe Work: Tn CCC �" Gas piping Sys 1 - 5 outlets 15.00 Buildingsew 1 5.00 Mobile Horde S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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: ❑ 1, 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. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. q 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 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.) O 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 - O Owner O Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. owELLNO oCCUP. so OR AODNS. ( 8 ACC. SLDS. 17 1 3.52FT. NON -A. T. MULTI.OUTLET 97.50 APPARATUS 6 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 I'00 Ex. Occu eAL r, .so Ex. Occu . CFIu ins qa D.1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 111�j MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FE $ J NA2. D. FEES IMP FL000 CDF PARCEL PO HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ (04 to) ReceiptNo. 7 WHITE-D.D.S.-8.0. CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD•APPLICANT U- lb- \LA- ul uj V N 11 �1r � LLA 40� j"A va POO - 01- o 1 3 'P. \- v► LU ULA ddrm LL. t uj 1 3 'P. \- v► Itl -T t w I Sj- UT si IIJ 44 1 3 'P. \- v► CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte. County Building Department for compliance. 56 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be'provide for by the landowner. Driveway Standards [ ] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appartezant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius Ll 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ ] 2. The length of vertical.curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3.-. AP # PERMIT # NAME [ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ ] 1. Gate entrances shall be at least two feet wider than , the roadway it serves. [ l 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ l 1. All parvels 1 acre acid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [u] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. r�l 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �)r fi:ial inspection of a building permit. Page 2 of 3 AP # PERMIT-# NAME Other Requirements [ If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed _0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials � _3'17 4. Date Sic Page 3 of 3 ture ADDITIONS TO REST ENTIAL BUILDINGS ENERGY SHEET PA KAGE COMPLIANCZ I� oane Climate Zone Permit I 97-4Qe Floor Area -7/ The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified Windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM`S MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Parts 1 and 6 of the California Cade of Regulations. (lan 93) SIGNATURE OF BUILDING DESICNER OR APPLICANT Component <2100,45tt; 101-499 500-999 .>.=1000 sgft Ceiling R-19+ R-38 R-38 R-38 Ins. wall Ins. 'R -13• R-13 R-13 R-19, 21 Floor Ins.^�A-13 R=19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. Class 75 : � .75(U) .60 _1 r,x�„ Max. Glass. 50 ;q:tt: 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(SSN) . Shading NR .40, .66 :401 .66 .40, .66 Coeff(WSE) I Thermal NR 5% Raised 5% Raised 5% Raised 120% Mass 20% Slab 20% Slab Slab Heat, Electl Not Allowed Not allowed Not Allowed Not allowed Resistancs Heat, Gas I AFUE 78$ AFUE 78% AFUE 78% I AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump I HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package 1f Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Coolinq -I SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased t Allowed W/ -Allowed W/ Allowed u/ Allowed W/ Of Wtr Htrs calculation calculation calculation calculation' * One entry/column a req both sones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified Windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM`S MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Parts 1 and 6 of the California Cade of Regulations. (lan 93) SIGNATURE OF BUILDING DESICNER OR APPLICANT �� �� �. �.: �,� �� qi p •4r ... . __ : �_. __� _.. .. �9 __ `.� ��V . �� .• -- � -, v March 17, 1998 John Jackson 18 Sunset View Lane Oroville, CA 95965 ........` utte Co L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916) 538.7541 FAX: (916) 538-2140 RE: Building Permit # 97-0628 Expiration Date: 4/17/98 A.P. # 0697470-052 With reference to the above. subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or sho4d you have any questions concerning this matter, please contact the roville office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments cc: Cook & Son Builders 147 Loma Vista Dr. Chicory ice CA 95149 Humboldt Rd/891-2751 . y COUNTY OF BUTTE- DEPARTMENT OF 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 069-470-052 ZONING AR 1 BUILDING PERMIT OWNER JACKSON, JOHN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 18 SUNSET VIEW LANE, OROVIL•LE, CA 95966 CONTRACTOR'S NAME COOK & SON BUILDERS TELEPHONE 33- 0302 CONTRACTORS MAILING ADD +� LOMA VISTA DRIVE, OROVILLE, CA CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1 I $ 31.5 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 18 SUNSET VIEW LANE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 51.5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 20 AORLEESS 23.00. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IDDDA 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( s ACC. BIDS. SO 3.5¢FT: ,",DLESNID MULTI -OUTLET BRANCH CIRCUITS I @7.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occup. OUTLET OR FDrrURES BAL (';50 Ex. Occup. GFlxuTE as of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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 Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. --fate 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 51.50 D -FEES IMP FLOOD CDF PARCEL pp HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ _.. _ a,1 .!"4:H.`.'�iaZ i�r'Y%��Z•t.�t5" y. �f � r4.-7± :... ,a•:...T _A.: . r •[.. , ... .'i• M. � ...'r . " 3.:' Y.. ..- r r �. v s . .t ;. 069-470-052 PERMIT#97-0964 �t JACKSON, John & Jackie 18 Sunset View Ln.,'Oroville Cont: Connolly Professional Reroof/SF/g/ i f . 1 . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS N 7 County Center Drive - Oroville, Clatiforria 95965 - Telephone (916) 538-754- _ RMI 14o, (Rev. 12/96) APPLICATION AND PERMIT // ' ASSESSOR PARCEL NUMBER ZONING ;BUILDING PERMIT OWNER JACKIE JACKSON TELEPHONE TELEPHONEAND SO. Fr. BUILDING VALUATION 0 .0 1800 510 1800 OWNER IUNG AADRFyRS, SU�tiatJ_ VIEW LAME, OROVILLE °OMRMiV tU L PROFESSIONAL SERVICES TELEP 51_1516 CONT 3490 b�li�Fs AENUE, OROVILI.E 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER EN$�J1p UC/ f C24 W♦J Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDIN ADDRESS. T ' `l6 aUNSET VML LAKE OROVILLE Ener Plan Checking Energy g Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 6 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 1 fU O e and effect. License Class �� Lic. No. De OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License p ty p l ry p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and polic u er are: Carrier t i� Policy Number — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �j X _ Date / Signature of Applicant - ❑ OylKer 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCURSO OR ADONS. ( & ACC. BLDS. 3.54 - NON-HESID. T. MULTI -OUTLET RANCH CIRCUITS @7,50 POWER APPARATUS a SINGLE OUTLET KIR. Ex. OCCU . OUTLET OR FIXTURES 20 ®1'50 BAL SO Ex. Occup. FI%ED APPLNS.OR p. oUITXED RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. { ; �� / By 1-t "' Ml��1-Date 5181 8 PERMIT EXPIRES ON/8/98 Date rReceipto. LLLVGI. .D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-754 PER T o (Rev. 12/96) APPLICATION AND PERMIT 01 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERJOHNAND JACKIE JACKSON TELEPHONE SO, FT, OCC. BUILDING VALUATION 0 @ 50 1800 OWNERJR1ILgt'fflM VIEW LANE, OROVILLE 'O'R`fdMfftY PROFESSIONAL SERVICES TELEP�n_1516 3� COWRA�r&g 4AbV ffl j!, .,^S AENUE, OROVILLE 95966 ULENDER CONSTRUCTION Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICF�N�S,E,f(,� 1 2 4 Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINIf T NSET VIEW LANE OROVILLE �Zjj Ener Plan Checking Energy g Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New t Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ion oa u<ss 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 i fu a and effect. / f7 (O License Class `` Lic. No OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section ` 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co pensation insurance carrier aAd polic Li er are: Carrier "�,�� _ /.� /� (fll Policy Number GAr It7 (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 rovisions. _ X Date- _ �� ��-- Signature of Applicant -7 ❑ OWAer 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 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Ac- eT 3.5¢FT: NEW CONST. MUT' N0.RESID. ANC I c @7.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.SAL_ 20 ®L 00 o .50 UNS Ex. Occup. ouTLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD I HD I TE 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 5/3/_97 PERMIT EXPIRES ON 5/8/98 Oste ReceiptNo. 222021 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: J J a CkASSESSOR PARCEL NUMBER: Proposed Building Use: I Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 111. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. 1:17. Statement of Intent for Non -Heated and A/C Buildings. 1-18. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1:119. Encroachment Permit for driveway (construction approval prior to occupancy). 020. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. Deliver with inspector. Applicant: Date: EXPIRATION OF APPLICATION Applications for which' a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant i .•.\,�1.ii.i i•-'v.,-t„-,,.>.:,i{-.,r�-,n+�.,��r'`tirpin'"" r"1=�,.�"`.M;'�r C^.✓<^!"K'`kCyv?..�.�,+l7�,"v,��'7.�":.=4�'�,i^'w"'��.r,"":�'h4.:,,.i-.i,, , ..COUNTY OF BUTTE DEPARTMENT OF DE,,r �'OPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE CAL O NLA 95965 -TELEPHONE 916 538-754.1 PERMIT APPLICA TION DA TA SHEET OWNER: C_ k S ©n ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: ' Date: At time of permit application, I.was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ----------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112. ------ ❑12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ____ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ---------------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:By: Copy of plans sent ❑ Health Department, 11 Fire Department, 11 Other: Date_ By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transferby: Date: Yellow Copy - Department of Development Services, Building Division. r t rs When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:By: Copy of plans sent ❑ Health Department, 11 Fire Department, 11 Other: Date_ By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transferby: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR P15EL Nu ER , ©S C�JJ1T/P ZONING BUILDING PERMIT owNE • Q e- ®� TELEPHONE SO. FT. OCC. BUILDING VALUATION o OWNERS MAILING ADDRESS is:Su�vs�-U U�v;� C.ONTRACTOR'S NAMF� i /rlNt� _o4S !'o-� cie.eil TELEPHONE �� fS�ie CONTRACTOR'S MAN ADO SS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHRECT OR ENGINEER UC NSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS n/ t Energy Plan Checking Fee $ $ ✓ V PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF VDuplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Remodel ❑ Utilities 0 Installation ❑ Other Describe Work: �/_,) Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 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 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ©�� D , License Class C_S g LIC. No. (/y 'OWN ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required.by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. L1WF&W- OCCUR SO OR ADONS. ( a Dee. BLnS. 3.5c Fr.. OUTLET ,NON.EW pESID. T.CIRCUITS97.50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR ForrumS Ex. Occu B&LL @ I:w Ex. Occu . oLPiTT EDTSA A=) EOR" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ r HAz. I D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /oral ReceiptNo. WHITE-D.D.S.-B.D. -CANARY--ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . � t')� °j'•.��i+� r J�•�7 �'v`"��{Z�Ht� ,r! ��.�`��,�i�r r.'�n�rs..:��'F`„i(„4, •`''9^�.'�'�' ;.�n..u�*�*.•v�y„ryr=�y.�s,r�f' n. • �,} School District A.P. Number Property Owner Property Location/p BUTTE COUNTY SCHOOLS.IMPACT FEE CERTIFICATION FORM (One form per Building) �6 MCC 0 a r V Building Department No. Jurisdiction: City County Subdivision Lot No. Residential Development No of Living Mobile Home Ad' dition Units Installation Commercial/Industrial Addition tsuuamg uepartmeni (Floor Plans reviewed by School District Personnel) Sq. Footage (Grobp R) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. �), r p�� ((J'ncA/d !1 School District certifies that pplicant) •i (Street E9 (State) has complied with the requirements of Resolution No representing Q / square feet. Representative (Phone p Code) by payment of $ N B 2926 ' $ ULL MITIGATION $ Date Paid. _ _,,,, jaiice` qr koo-4 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact.Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (2/97)dmm