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069-510-011
Village Oaks Inc. �5 /2j/11 fj ram: m _ Sorrel Ct., Lot 43,Unit #2,Oroville I p CONTR: North Sierra Constr.,Oroville Permit 55118-77B,P,E,M (new SF)_ n 34 82-11 �} contr: North Sierra Corst., Oroville P Permit #2829-784.(add °open deck/SF) 069-510-011 PERMIT#97-2069 GRIFFIN, David & Renee r a 7 Sorrel Ct .-OOrjovilllee � Reroof/SF � J 069-510-011 04-0821` GRIFFIN, DAVID 7 SORREL CT, OROVILLE ° Cont: EMERALD POOLS NEW POOL J 069-510-011 05-0985 " GRIFFIN, DAVID 7 SORREL CT, OROVILLE Cont: WHAT CHEER CO ° INST HT TUB&NEW ELEC i i 1 ' f E f C"ll Lo BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class : T� ` / License Number: ` Date: G' ill/ Conlraclor:14./ 'OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant lo.the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section. 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who buildsor improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjuy 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy PERMIT NO. BP05098.5 Issued Date: 04/18/2005 APN: 069-510-011-000 Site Address: 7 SORREL CT ORO Map Index: Description: INSTALL NEW HOT TUB & NEW ELECTRIC SERVICE Owner:. GRIFFIN DAVID A & RENEE S 7 SORRELL CT OROVILLE, CA 95966 Applicant: WHAT CHEER CO , GEORGE CHOUINARD 139 PINEDALE 95966 530-533-4453 Contractor: WHAT CHEER CO GEORGE CHOUINARD 139 PINEDALE 95966 530-533-4453 License #: 610519 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 0'\I certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that If I should. become subject to the workers' compensation provisldns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant: WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is here y Issued and I hereby affirm that there Is a construction lending agency for the Resolull ns to ork Indicated performance of the work for which this permit Is Issued (Sec 3097 Civ.) By. Name: . PERMIT EXPIRES ON: Address: the a llca le provisions of the Butte County Code and/or boM,,,r chf have been paid. Date: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534,of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construcllon of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized age the ow r. I a ree to comply with all county and state laws relating to building construction. 1 acknowledge It Is unlawful to alter the substance of any official form or do men' f Bu a Coun I hereby authorize representatives of Butte County CCounntyytto enter upon thee above mentioned property for inspection purposes Print Name: �` `'•� v ' ` �''� A r`� Signalture: " Date:• �v 0 Owner il�bntraclor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** OWNER Last Nam / / �� r� ,. first N n� / ,✓ Address S v /2- ,OZ- � 7 City 4:5 , State G Zip Phone Fax E-mail CONTRACTOR Name W /4;ul Ile —7— G /�✓�� l� Address ` 3 � `p� I� City State Zip. Phone .� Fax E-mail Lic.d Claa APPLICANT S19Iq TURF X q/ / , For office use only: ARCHITECT/ENGINEER Name , � 0, Address WORKER'S COMPENSATION City Yes State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT S19Iq TURF X q/ / , For office use only: APPLICANT NAME Name , � 0, Address WORKER'S COMPENSATION City Yes State Zip Phone Type Const. Fax E-mail Map Book APPLICANT S19Iq TURF X q/ / , For office use only: / Zoning Flood Zone WORKER'S COMPENSATION SRA Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS rPEER�MIT NO 1� o BIN # LOC/ATION Press gp1rty �IriJ t rcl Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: -� -2-- Le Z) Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt # V. �/Sheriff 07 Date: 4 -f Q'T r. SMIP Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire 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. REQUEST FOR 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 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. j4()?21 DATE:O Afyj APN: - - a/ S ZONING: NEAREST CROSS STREET: 0�-15e,w T�tACT/LOT#: SITE ADDRESS: n L rt LL1y C otalCs '2, CITY, ZIP: Orom e OWNER NAME: PHONE: STREET ADDRESS: o rr^ t FAX: CIN, ZIP:7_5c ea 4� 6 E-MAIL: APPLICANT AME: PHONE: STREET ADDRESS: FAX: T7- JYso CITY, ZIP: / na ^ `�-7 /1, C�`CJ, 9. E-MAIL: CONTRACTOR NAME: -- er;>.Id Pods PHONE: STREET ADDRESS: �� a FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ga) - as ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) F"-zm�, >C D&2SC- 9, i24 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: 0L),0-*-ra4,.QI ` 1 arA J-�� A Application Received by: Date: - ,2, 3� Receipt number: Amount Received: Vf)--er - B. C. Building Permit 01-23-04 Pg 2 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 OWNER: r-7 f , �L , ,si i �i2I///15 <�1�i91f'Y� ASSESSOR PARCEL NUMBER Proposed Building Use: ��,°%7I;f _ Counter Technician:' Date: 3 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. a0� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. 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 fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form Ad 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. C ❑ 16. Other -?.i /ya,7 -11_ 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 Forestry plan approval ❑ paid. Sent by: ............. � 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone �7 17 . 5�t and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �// - -�� Date: A2 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own r, was advised of thea ove data by ❑ phone, ❑ mail, ❑ coun Date: Plans reviewed by: Date: Plans approved by:jjtjjDate : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division NOTES .r I RESIDENTIAL PERMIT N0._ -04-0821 - 069-510-011 GRIFFIN, DAVID 7 SORREL CT, OROVILLE } Cont: EMERALD POOLS NEW POOL J i ;M SPECIAL CONDITIONS CHECKED BY _--SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature I RESIDENTIAL PERMIT N0._ -04-0821 - 069-510-011 GRIFFIN, DAVID 7 SORREL CT, OROVILLE } Cont: EMERALD POOLS NEW POOL J i ;M SPECIAL CONDITIONS CHECKED BY _--SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK = Not Applicable . = Not Ready DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card 6-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable '. = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. F4g., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-CrIDDies Date 15. Access & Ventilation 47. 16. Insulation 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Card B-1 Date Card B-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 23. Fire Sprinkler; Test 59. Glazing Area -Glass Protection -Skylights -Plastic Date 60. Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Insulation -Walls -Ceilings 24. Fixture & Transformer Clearance -Ins. Protection Infiltration -Walls -Windows 25. Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1, Date MECHANICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 36. A.C. Ducts Insulation & Support A.C. Duct in Garage -Damper 37. Vent Fan, Exhaust above insulation Wtr. Htr.; Vents -Clearance -Comb: Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection, 38. Condensate Drain & Overflow, Size & Grade Plb.; Elec. & Mech. Equip. Listed for Location 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Elec. Receptacles in Garage (F.F.I.)-Romex Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 83. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 84. 43. Bearing Walls over Girders & Floor Nailing 85. 44. Draft Stop in Walls (rat proof) 86. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 87. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer • 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Conriector- In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77: Wtr. Htr.; Vents -Clearance -Comb: Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection, 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Emerald Pools ADDRESS: 3138 Tangeman Trail CITY & STATE: Paradise, CA 95969 nATF nF CI AIM- n1 /ifs/r15 �/g/off a SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 069-510-011 Permit No.: 020821 PAID RETAINED I REFUND Development Services $ 687.38 $ 467.42 $ 219.96 THERM DRNG $ - $ - $ - SMIP $ - $ $ SHR $ - $ - $ - TUA $ - $ - TOTAL $ 687.38 $ 467.42 $ 219.96 ............ ............. ............ > ............................................. .............................. ............................................. .............. t;:::AC�OCJIVT:.::A1vI0UN:T:: .............. ............. .............. ............. .............. ............. 101001 DVLPMNT SVC 440-001 4210500 $ 219.96 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - -T- 1011816 TUA 18001 280 $ F TOTAL $ 219.96 $ 219.96 i, the unaersignea, declare unaer penalty of perjury that the services or articles claimed have been performed or delivered, and that this c!3iM is true and correct a[S/5ated. Dated this day of LG 2005, at /r% J/ i , Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Checka same. Q —. )qhMaUW Dated this 1 day of :Re, 2005, at Oroville Calif. e t Head or Authorized Deoutv Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND I)U NUT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 1/28/2005 0? v tos-- Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING Emerald Pools 3138 Tangeman Trail Paradise, CA 95969 RE: Permit No. 04-0821 APN#069-510-011 Owner: David Griffin= On 3/25/2004, a deposit was made in the amount -:of $687..38, of which $467.42 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive 'the-claim-form;--we-will. then -process - _ your refund in the amount of $219.96. Should you have any questions, please contact this office Monday through Friday, 8:00 -a.m. to 4:00 p.m., at 538-6869. _ . _ Sincerely, Diane Lewellen , OA.III Administrative Division enclosure 04-0821.1tr County of Butte Oroville, California GENERAL CLAIM i CLAIMANT: Emerald Pools ADDRESS: 3138 Tangeman Trail CITY & STATE: Paradise, CA 95969 nATF OF ra AIM- (1119AHIS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 069-510-011 Permit No.: 04-0821 PAID RETAINED REFUND Development Services $ 687.38 $ 467.42 $ 219.96 THERM DRNG $ - $ - $ _ SMIP $ _ $ _ $ SHR $ _ $ _ $ _ TUA - $ TOTAL $ 687:38-- 4r 467.42 $ 219.96 ................ > >:' :o:::::: YA DOW.- :ACCOCJN 101001 DVLPM-N-T,SVG -,•,--440-00.1 :,»,- -- 4,21050Q . $ 219.96 1011822 THERM DRNG 1800 280 $ -- - 1011430 SMIP 1001 280 S 1011811 SHR 1800 _ 280 S - 1011816 TUA 1800 2801$ - TOTAL $ 219.96 $ 219.96 1, me unaersigneo, oeciare unoer penairy of perjury trial the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of , 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2005, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ I SUB. OBJ I CLAIM NO. I INV NO. I INV. DATE I ENCUMB. GROSS AMT. e USE TYPE IREMARKS • r. BE P E t.Z M,M 25 c max VALUATION FLOOD _ FEES PAID • : : RECEIPT : • ' APPLIED FEES 2 RECEIPT 2 ISSUED FEES 3 RECEIPT 3 FEES 4 RECEIPT 4 FINALED PLAN CHECK ACTIVITY PlanChkd By -7: ® Return -9: Str Chk-1: Plan. Chk-2: —� Chkd By -2--: — Refurn-2: Sfr Chk-2: _- Plan Approved: Sti AM Comments: 255_char_. max OVERPAID $219.96 IN FEES, NEEDS TO APPLY FOR A REFUND. AAM TO PLANNING 4/7/04 7/28/04 -needs pool plan. Process and issue.mc. Refund requested 8/18/04. REFUND. Permit w/Di. Sent for signature 1/28/05 0 UTrF0 Butte County Department of Development Services ° ° Building Division 7 County Center Drive ° ° cOUN'�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued- if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment Services for pavment processinq. CLAIMANT'S NAME: MAILING ADDRESS: r PHONE: ASSESSOR'S PARCEL NO.: .5-/ 0 !2 L— `P [Please use one claim form per permit.] U.�%o�/ a BLDG PERMIT NO.: Q ��- Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: Check those fees which you wish to have considered for refund: =Building Permit Fees =Other (specify): =Sheriff Fees =SRA Fees (CDF Fire Planning) Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Signature Date K:/Forms/Refund Application 082203 X44 PLAN REVISION Owner's Name:- -Y 1 YX_ BP#: n4 ®T a. Date: Contact Person & Phone Number: AP#: (DlDq--� Received By: _ t Time: S PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering rr (7-*PlanRevision ❑ *Requested by Building Inspector's Correction Notice - Inspector's Name: ❑ Requested by Plan's Examiner - Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. - If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: Call q t ❑ Deliver with next irispection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of, revision, plans examiner will determine if additional plan checking fees are needed: ❑ e Minimum $54.99 Receipt #: R Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 M Inter -Departmental Mermrandum To: Building Parcel File — 069-510-011 From: Mark Michelena Date: July 2, 2004 Re: Griffin Pool Permit Clearance — 04-0821 A minor variance is required for the encroachment into the required setback. The minor variance application is being handled by Carl Durling. Thank You. 4264,� Mark Michelena PLAN REVISION Owner's Name: l 7 r i I N AP#: 5( Ct — E16 --Q/ BP#: /-)q - Q Received By: 7e_ - Date: S —/Q Q Time: Contact Person & Phone Number: ,PURPOSE OF RE -SUBMITTAL OR REVISION Permit Application Data Sheet Item 1P [A /),I n ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call ❑ Deliver with next inspection. and hold for pick-up. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $54.99 Receipt #: ❑ Fee not required for revisions requested by plans examiner prior to issuance of permit. ❑ Additional Fee Amount: Receipt #: Revised 2/04 Emerald Pools 3138 Tangeman Trail Paradise, CA 95969 LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 RE: Site Plan Review for APN 069-510-011 (7 Sorrel Ct., Oroville, CA 95966) David & Renee Griffin In reviewing the site plan for a pool on APN 069-510-011, I noted the following issues: The pool must riot be located in the front yard set back as stated by Section 24- 305-391. This parcel has a front yard set back along both Sorrel.Court and Saddle Drive 24-305.391 Setback, front yard. Area which extends a specified distance from the edge of the, ultimate right-of-way and which may not be occupied by buildings, accessory buildings or other structure. The pool structure needs to provide for the "accessway" as required by 24-305- 392: 24-305.392 Setback, side or rear yard. Areas which extend a specified distance from side or rear lot lines and which are not to be occupied by buildings, accessory buildings, fireplaces, or other structures or equipment extending more than forty-eight (48) inches -above ground level. Examples of structured s that may be placed within the setback, as long as minimum three-foot accessway is maintained, include air conditioning/heating units, pools and pool or spar pump equipment, propane tanks for residential purposes as provided by the Uniform Building Code-, portable storage structures, stairs, planter boxes, decks, and wells. This definition shall not apply to public utility facilities, eaves or awnings that do not encroach more than two (2) feet; trellises, clotheslines, fences. Please note that the plot plan needs to conform to department standards, as well. Enclosed is the Site Plan Submittal Requirements. Please review all enclosures to be sure that the information is correct, and that you have incorporated these requirements & conditions into the design of your project. Should you have any questions please feel free to call me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-6572. Sincerely, seph Baker Planning Manager Attachments. 121 NOTES RESIDENTIAL PERMIT NO. Oraui l� t SPECIAL CONDITIONS CHECKED i BY j SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ; r VERIFY moi•: USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER E t f z t f t JOB FINALED (Date) i Signature J �_ 1s �C Q .1 Ao J=OK 0 = Not OK Not . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Gracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Gracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PO. (Plans) OK except #'s tbacks-Easements 1*27 Soils; Compaction -Structure Stability 3 Dol Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ) P KU J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Brace Interior/Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral O Yes 0 No - 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP040821 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: 08/18/2004 APN: 069-510-011-000 the Business and Professions Code, and my license is in full force and effect. �3 a17ol� License Class: License Number: Site Address: 7 SORREL CT ORO ,p� Date:0gg ff GLi Contractor. F-mG/`211G` p 0al_5 Map Index: Description: NEW POOL MASTER #513-01 p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GRIFFIN DAVID A & RENEE S to its issuance, also requires the applicant for such permit to file a 7 SORRELL CT signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GRIFFIN DAVID A & RENEE S Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: EMERALD POOLS not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3138 TANGEMAN TRAIL ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 530-877-3638 Date: owner: emerald@chico.com License #: 721764 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 Census Code: � / 47 1 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 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 comply with those provisions. 48 Date: Applicant: oorryv r 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. /t /� � � / S/7 CONSTRUCTION LENDING AGENCY This permit is hereby, issued under the applicable provisions of the Bette County Coda a, nrVor I hereby affirm that there is a construction lending agency for the Resolutions rk indicated above for which fees have been paid performance of the work for which this permit is issued (Sec 3097 Civ.) n Name: BY Date':V ' PERMIT EXPIRES 00N - V Address: - - Dae - - ❑ 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 construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official nt of Butte County. I hereby authorize representativesoff Butte County to enter upon the above mentioned property for inspection purposes Print Name:fir / ��J��� Signature: a Obi ^ Z (% — l/ Date: / ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 ■ CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTO • Name Address T9—.r) M��m City Pa_ad( State ea 1 70 5 PP "q Phone 977-JJ&S— Fax 877 S�3 G E-mail uc.�21 6 ClassCs3 E-mail Planner State License Number CONTRACTO Name Name Address T9—.r) emo City Pa_ad( State ea 1 70 5 PP "q Phone 977-JJ&S— Fax 877 S�3 G E-mail uc.�21 6 ClassCs3 APPLICANT NAME ARCHITECT/ENGINEER Name / Address Zp 9 City ax 877'3 3 0 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name 2�a1 �oc�s Address 3 0 a! City ;�a// State 02,F Zp 9 QQ Phone 7 _ 363(i ax 877'3 3 0 E-mail /si "!LSIGNATURE 1WE'or '100, 0M '0 For office use only: Zoning PMDR rty,�dr��/��C/(/C Flood Zone Cross Street SRA I Yes I No Occ• Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT o� O§1al BP BIN#in 'f .. �1 LOCATION ff SMTP PMDR rty,�dr��/��C/(/C Other Tnhl Cross Street WORKER'S COMPENSATION Policy Number 1 N Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 4&t escripti p o Sq. Footage O Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Re7y- e by: Amount v Bldg SRA Receipt #: � Sheri ff SMTP Date: �Jr Other Tnhl SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND WINS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). ❑ 4. Letter from Engineer or Architect for truss design review. ' ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) .Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and -site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would,like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. -: OVER FOR BUILDING PERMIT APPLICATION :TORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF KDEV SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET O // OWNER: ASSESSOR PARCEL NUMBER� / 44 a Proposed Building Use: Counter Technician: Date: y ergs required in order to apply for a permit. All boxes MUST be checked OR marked NA in or er to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. O 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs t ❑ 12. Letter of intent for non-residential buildings JA13. 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 O Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ 0 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by O 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required..............................................:......................... O 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestylan approval ❑ paid. Sent by: ............. L( 24. Planning approval (A)=Use: (B)Parking: ` (C) Parcel Check: Q -f 1 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form...........................................................,.................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ i 28. Pre -Inspection for required....... d/ 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.................................................................... O 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... O '35. Existing violations and/or expired permits......................................................... O36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: If 0 39. Other: - :9/ c'j When issued Telephone -tel(/-J and hold for pickup. I have been informe , ab a 'terns and requirements for obtaining a building permit. Applicant: _ Date: 1. Index permit application for the above items numbered: P Check Letter 2. Additional items required Contractor, designer, ne was advised of the above.data by one, ❑ mail, ❑ counter, by Date: Contractor, designer, over was a 'sed of the ve data b hone ❑mail ❑count Date: P �a-- Plans reviewed by: Date: � Plans approved by: V Date Structural reviewed by: Date: uctural approved by: Date: Note transfer by: Date: Yellow: Building Division •G� SITE PLAN REVIEW APPLICATION • Date: S- 0 AP# Permit Number (if applicable) ©-` �Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: `t Grl Glv� Owners Address: So -( G�- NYU✓t�lC�, �`�i Cy Telephone No.: 8 -7-.7 — 3(e3o^) Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home Residential Accessory L— Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ' ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other. ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved Kkesolve Problems Prior to Approval Site Plan Stamped Approved Ma Z Ob���� By t Q-6DJ M, Date IC3 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) . ❑ Watershed Protection Overlay Zone (See attached standards and requirerpents) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑Setbacks drawn on site Plan. ❑CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front do' Side i Side Street Rear (St Height Waterway N/A N/A N/A ❑Setbacks drawn on site Plan. ❑CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r j Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By F-1 Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ft Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 701 Page 4 of 5 I Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAI-anys\Building Permit Site Plan Reviewl.doc Page 5 of 5 r �iPL*�c'nzi'ga.�%iS7k, 1.�S�t'M`rPrti"''4`'�gpaq�F:`�a...A..,;�r,•Zr,.e.T...-r:wn-•rrFv .: ,.-,.•n!nrrc3->Jti�''e'=-73�'°Cb.Y''9'fl. , , _ .T, i 7 069-510-011 PERMIT#97-2069 _ GRIFFIN, David & Renee fs" 7 Sorrel Ct., Oroville Reroof/SF 9/175 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CaliforniP, 95965 - Telephone (916) 538--7rAl� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUI NGPERMIT OWNER DAVID R R RI�ti'i�'r r' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' 1 966 1620.00 CONTRACTOR'S NAME OW��N-F� ViYA�L.R TELEPHONE CONTRACTOR'S MAILING. ADDRESS 1 CONSTRUCTION LENDER LENDER'SMAIUNG ADDRESS ,1 4E Fireplace Total Valuation $ 1620.00 ARCHITECT OR ENGINEER LICE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 59.00 LOT NO. SUBDIVISION'S NAME PARC MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE I SF ❑; Duplex ❑ Mobilehome ❑ Other I 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 27 SQ MIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, oa .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 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 r the following reason: YI, 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 Main Service 200A TO ,000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. sLDs. 3.54FT. =RES IDT RANCHO TLERCUI 97,50 TS POWER APPARATUS a SINGLE 0 rrLET CIR. PSINW20 00 Loo Ex. Occu OR FIXTURES BAIso Ex. Occup. aLFITXEE°Ts AESIOOEA 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. ❑ 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 MECHANICAL PERMIT Filing 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �X . '. .- i'Date i �' ^"� i_� Signature of Applicant - qYOwner ❑ 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 $ 59.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSU 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 Dater PERMIT EXPIRES ON I p Receipt No. WHITE-D.D.S.-B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California'95965 - Telephone (916) 538-7MI No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER v 011 ZONING BUII.PfNGPERMIT OWNER DAVID &RENEE GRIFFIN TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7 SORREL T R V 1620.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1620.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 59.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EK 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 27 SQ 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 S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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 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 aw r 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❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR AoONS. ( 6 ACC. BLDS. SO 3.5¢Fr: NEW CONST. MULTI.OUTLET NON-RES10.BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FD(TUREs ens p 1. o Ex. Occup. ouiLEETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 FES $ Policy Number ,(Theabove sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.)Dcc 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. M ap— 9a�Date — rFurig—nof Applicant - Ow er ❑ 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 $ CONST. TYPE TOTAL FEE $ 59.00 HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSU v 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 EXPIRES ON / provisions to do work paid. r 0 Receipt No.PERMIT WHITE-D.D.S.-O.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the ajor labor and materials for construction of the proposed property imp vement : YES NO O I HAVE•VHAVE NOT 0 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: PHONE: CITY: 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: PHONE: CITY: 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 PROPERTYOWNER: Da �6 SOCIAL SECURITY NUMBER: , � — DATE: t ;_� -� NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your namelisting yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner-builded' you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ 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. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contraggrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IIMirely, el C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER PERMIT NO. 2829-78.Be, PERMIT EXPIRES Village Qks OWNER CONTR. North Sierra Const., Oroville LOCATION (A.P. 34-82-11 7 SorreliCt., lot 43, Unit #2, Oroville Temp.APower Pole Called PG&E Te p Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED C9` (Date) � (Signature) Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio IRE LACE Final Footings Footing LECTRICA Masonry Walls Throat Rough Relnf. Steel V Final Fixtures FIRE SPRJNKLERS Stucco Final Subpanels Mesh hE04ANICAL Grd. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts rx Undergrotufd Interior Lath Ventilation i Penman , t Door Closer Final Final MOBILEHOMEU LITI------------------Ejec. Service Elec. Pedestal Water PipingSewer Gas Piping M0131LEUOIdE INSTAL TI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping g� Drainage Gas Piping DATE%�4 REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms f I Parapets lst Floor Main Bldg. Restroom Finish 2nd Floor i Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I A Garage Vents Insulation Water Htr. Heaters Slab Prov. for physically handica ed Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio IRE LACE Final Footings Footing LECTRICA Masonry Walls Throat Rough Relnf. Steel V Final Fixtures FIRE SPRJNKLERS Stucco Final Subpanels Mesh hE04ANICAL Grd. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts rx Undergrotufd Interior Lath Ventilation i Penman , t Door Closer Final Final MOBILEHOMEU LITI------------------Ejec. Service Elec. Pedestal Water PipingSewer Gas Piping M0131LEUOIdE INSTAL TI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping g� Drainage Gas Piping DATE%�4 REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ,- Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT t/ BUILDING Owner SQ. FT. OCC. BUILDING VAL TION � Q Mailing Address Telephone No. Contractor it 1r Y Conns.+b Mailing Address Fireplace Total Valuation el hone No. tL_. .11VBuilding Permit Fee AddressSo r Plan Checking Fee&/or Penalty Permit Fee $ &lOD PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 I"u I ( 1e Repair drainage or vent piping 1.50 A. P. No. ,.— �._ 1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F / 1h ;JBMD I Fire Dept.. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. Inns Recd Parcel A ro PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTOR ADDNS. C ACCDWELBLDGS.CCUP. 7i) 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: C % l�f/r fT- ��•� ! /r. ^ NEW CONSTR BRANCH CIRCUITS) NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50@L2+¢ BAL01 OUTLETS PR Ex. Occup.(FIXED OUT (RESID)EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 .7 . License No. Classifications_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ is WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability forWorkmen's Compensation. II have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date fi — 5' at P itee or Agent R e i p t No. aR White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant MECHANICAL NO -1 @ 1 FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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 be aid. DIRECTO OF UBLIC WORKS BYDate✓ ,7/- 7e B tiding permit expires Date J_— -3!-2 � I Yom, PERMIT NO. 5518-77B,P,E,M PERMIT EXPIRES OWNER VILLAGE OAKS INC. CONTR. -NORTH SIERRA CONST, INC, LOCATION A.P. 34-50-30 port 7 Sorrel Ct, lot 43, Unit 2, Oroville ti Temp. Power Pole Called PG&E Temp. Elea Serv.j-��4�^" Called PG&Eh Temp. Gas Serv. Called PG&E MB t0olINALED COUNTY OF BUTTE — DEPARTMENT,OF, PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - Q - '7 Firewall Soil Piping Forms Parapets list Floor % Main Bldg. Restroom Finish 2nd Floor Footings Windows Y - ,26`7C 3rd Floor Stemwallr I V_ Siding To out Slab Roof Sheathing Water Piping Piers�/ /Q �7 01- Roofing s ' . Sewer Garage Fdn. Vents Fixtures - -7 Footings _ Garage Vents Water Htr. �! Stemwa l l Insulation Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping&Test Temp. Gas --� Slab Final Sanitation Patio FIREPLACE Final -•2-3 - Footings Footing 0 ELECTRICAL Masonry Walls Throat Rough -•�S' 7 Gam✓ Relnf. Steel Final .- -7 Fixtures -,4K- Bond Beam FIRE SPRINKLERS Motors - W - Framing Test Water Htr. G -Z 3-7 Stucco Final Sub aneIs G - -76 Mesh $ =5'7 MECHANICAL Grd. Fault Prot.c -Z3 -J Scratch Heating Service Brown Cooling Temp. Pole Finish (p - 3 7 DuctsUnder round Interior Lath Ventilation Permanent Door Closer -2 -3 - Final Final MOBILEHOME UTILITIES ---------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INS�T�ALL55TION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE q -.-;;;f "r -2V UP, A04g,� ��� -REMARKS ORCORRECTIONS Al -t 1K�i%i��a/ i ��/� >�" % X�AltI� 14 Q If (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Centel' Drive >— Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMITAO 1// authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X gna Date re orm f P itee or Ag t Receipt No. I20 V White-D.P.W. ink-InspacW6 rod -Applicant 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. DIRECTOR OKWBLIC WORKS By Date tr, B ing permit expires Date l/— c1— 7,P BUILDING Owner LG €' G OCC. BUILDING VALUATION Mai I ing Address *SQFT. Telephone No. Contractor Total Valuation Mailing Address �� o 4J Permit Fee Plan Checking Fee &/or Penalty (� �_ V T lep one No. �� Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C Each Trap 2V 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 (� r onin Verification Each gas water heater or vent 1.50 A. P. No. o C — Z Hingn9-Ea_-Qh Gas piping system 1 - 5 outlets 1.50 additional outlet .30 Fbe�W n n Fire Dept. Fire Zoe Use Permit Building sewer 5.00 ,(� EQA IParking Parcel Plan Declaration a el 60' R/W Im rovements� P Lawn sprinkler system 2.00 d�ns Par pproval Plans Atpproval Permit Fee $ V150 $ NEW ADDI ION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST ( AC UP &) 22sgft NEW CONSTR. ULT -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: // kc Ex. Occup(OUTLETS OR FIXTURES) BAL@1¢09 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�7A_S2Classification ' Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. [J Permit Fee $ . qp $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I-i►I have placed on file with the County of Butte a certificate of J� Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 731 T Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Z E TOTAL PERMIT FEE $�2 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X gna Date re orm f P itee or Ag t Receipt No. I20 V White-D.P.W. ink-InspacW6 rod -Applicant 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. DIRECTOR OKWBLIC WORKS By Date tr, B ing permit expires Date l/— c1— 7,P This set of plans prid-sper;f"rntlons Rei IST be ' lrn+ on +hp inh at oll #i --es and it 's unlawful to epi rynv "--os or ryltrrry icn: on same without written permission from the Department of Public Workc, County of Butte. ~he C .'r% Se;''cc� shcll be 5 ft. from 11% i I p, cpc- Ii. cnd 53 ft. from the :,eniet,:ti.s c{ rk, road, permitting a maxi- mum of a 2 'It. eave overhang but entirely out of all easements. See Masfer Plan on file for building plans. i U BUTTE COUNTY BUILDING DEPARTMENT APPROVE)"";. i VIMA�KS i 'T J This set of plans prid-sper;f"rntlons Rei IST be ' lrn+ on +hp inh at oll #i --es and it 's unlawful to epi rynv "--os or ryltrrry icn: on same without written permission from the Department of Public Workc, County of Butte. ~he C .'r% Se;''cc� shcll be 5 ft. from 11% i I p, cpc- Ii. cnd 53 ft. from the :,eniet,:ti.s c{ rk, road, permitting a maxi- mum of a 2 'It. eave overhang but entirely out of all easements. See Masfer Plan on file for building plans. i U BUTTE COUNTY BUILDING DEPARTMENT APPROVE)"";. i VIMA�KS i 'T