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Home My WebLink About072-310-014v 72-31-14 Virgil Medley 07 W/S Forbestown Rd., 4 mi -So -of Feather V_ �I�+, Falls & Forbestown Rd, junction, Feat er 072-310-014 PERMIT#97-38AG~ Falls Final 4-3—DONNELL, Roger Permit #2738-79B,P,E,M(new single family 2337 Forbestown Rd., Oroville 072-310-014 06-0069 DONNELL, ROGER & JUDY 2337 FORBESTOWN RD, OROVI..L:LE Coiit: NINE BROS VINYL VINYL SIDING Ag Ex Permje Sig M r uad . Equi If 49 5. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060069 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 01/12/2006 APN: 072-310-014-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: (�r/�((// Site Address: 2337 FORBESTOWN RD ORO Date: 01-12 - C',CContractor: 0 /✓1 E g R 07 H F RS Map Index: Description: VINYL SIDING 1835 RETROFIT WINDOWS 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 (12) 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 Owner: DONNELL ROGER A & JUDY A signed statement that he or she is licensed pursuant to the provisions of PO BOX 5788 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-0788 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: NINE BROTHERS VINYL SIDING 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 7744 ORPHEUM WAY year of completion, the owner -builder will have the burden of ANTELOPE, CA proving that he or she did not build or improve for the purpose of 95843 sale.). (916) 752-5252 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: NINE BROTHERS VINYL SIDING ❑ 1 am Exempt under Article 3 of the Business and Professions Code 7744 ORPHEUM WAY Date: Owner: ANTELOPE, CA 95843 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (916) 752-5252 ❑ 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 License #: 847142 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 Architect: insurance carrier and policy number are: d Engineer: �G a � E ��,� Carrier: G '^ I op 2 iy — `-• 6,05 Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply those provisions. with 2 Date: VI / Applicant: secure wo mpensation coverage is WARNING: Fail t ers c unlawful, and shall subject an employ 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.L�—� O' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is he by issued under the applicable provisions of the Butte County Code and/or Resolutio dindicate—&Vbove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Dat PERMIT EXPIRES ON: O Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled 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 d uthori agent of the ow 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 ic' for o o ument of B to ty. I hereby authorize representatives of Butte County to enter up the above mentioned property for inspection purposes. Ven/ Print Name: �%a 17.2 ii/+ Signature: - 14 W_ f 0,(— ! L — E� Date: J ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �13T rBUTTE COUNTY ° f DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 0 o AND SUBMITTAL REQUIREMENTS o_ 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 4i". 0 OFFICE 9: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: wwrv.buttecounty.net/dds "PLEASE PRINT CLEARLY"' OWNER INFORMATION Name i ?E 1590THEIZS Vl;P7I .SiGl�h Last Name J1 / [/ o ! FiQt -,..' uo� Address 23 37 FOR 6ES .L0r?E LG'4 p 01 City 09 0 VI E State Zip 015-9 011 Phone Fax E-mail E-mail State License Number CONTRACTOR�� Name i ?E 1590THEIZS Vl;P7I .SiGl�h Address 7 7 � OR PH E Dog /-, City �1'1 L elO F State Zip 9'58 Phone(_,,,)755-2 _5_�2 Fax of )6 726 _'5-6 E-mail Lic.# U1,r�` /,Z Class_ I APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address 7 7 L� L, /1R w4 C� Address State L_—,g City Phone (V6)75_2-,5_2 67 _2-.j 2 5-2 State . Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Nameei? I l� �"! 141 Address 7 7 L� L, /1R w4 C� City /O!� State L_—,g Zap 9 s- C i Phone (V6)75_2-,5_2 67 _2-.j 2 5-2 Fax ,,,G 72C— .S E-mail Nor F/ •sir "AV For office usl only: Zoning Property AddressWitt0 23-57 F0/Z l3 E SY�he Flood Zone I I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page • Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. ()x.60 BP , BIN U PROJECT LOCATION AP# C) a� . 1 6 . U I Property AddressWitt0 23-57 F0/Z l3 E SY�he y L/ I" 11 Cross Street�j y� (%2oViWr b l� �j A WORKER'S COMPENSATION Policy Number /e092'10 -z0o Carrier 1 F UN p 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 Descrip ion or Scope of Wor : Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receipt #- Date1 1 6v Amount: �5 n v Bldg SRA Sheriff SMIP Other Total 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 AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal b!dgs: (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 r BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES _.t K7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965— TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT IT f 7_ Agricultural building is defined as follows: Agricultural building is a structure designe and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This stru ure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ 2' D� ZONING-RDG)5 / / OWNER' PHONE NO. OWNER'S ADDRESS i!0kVV)L L LOCATION OF WALDING 7 USE OF BUILDING Q V p.., SIZE OF STRUCTURE X ' := SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _ STEEL CONCRETE OTHER (Specify) TYPE OF SIDINQ ROO COVERING TYPE ESTIMATED COST OF CONSTRUCTION $L,r% AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows- - - FRONT . 1h1�v+►/ SIDES / REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building.. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupan y. Date —g q iSignature of Owner. �- The above described AG Building Is exempt from a bui ding permit. �l J_F7 PARC P.D. ROPSSUE` Receipt No. 6 �_ Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 77;7 BUILDING DIVISION. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7C OUNTY CENTER DRIVE - OROVILLE,CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL., BUILDING EXEMPTION PERMIT - f #• PERMIT I Agricultural building is defined as follows: Agriculturalrbuildingi is a structure designe nd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This st ure shall not be a place of human habitation or a place of employment where' agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ^ /1 / FL ZONING I V OWNER i � ROOFI SSUE PHONE NO. `OWNER'S ADDRESS - !` LOCATION OF DING USE OF BUILDING SIZE OF STRUCTURE••' , ' X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME _ STEEL CONCRETE - OTHER (Specify) TYPE OF SIDI G ROOF COVERING FLOOR TYPE M o f i g .L h .ESTIMATED COST OF CONSTRUCTION t` $ = 6bo A, AG. Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: _ FRONT !�_S ! /M.v-t/ SIDLS 20 / - REAR - a AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. y AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a- minimum of 23 feet from a residence and a mobilehome, and 40.feet from a commercial building. AG Buildings must comply with Flood Zone. requirements. Finish floor elevation- must be at or above elevation ' USGS Datum. n I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date A4Signature of Owner jg� Permit -Fee'- $60.00 The above described AG Building Is exempt from a building permit. Receipt No. Manager Building Division �•,,BY Date ' White DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant N FL PARC P.D. � ROOFI SSUE N w BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —'TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT NO. Agricultural building is defined as follows: Agricultural building,is a structure designe nd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products.*This stru ure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ; ASSESSOR PARCEL NO. ^ O( 1 ' ZONINGV/ j OWNERPHONE /ISSUE NO. 'OWNER'S ADDRESS LL LOCATION OF B ILDI G F i USE OF BUILDING SIZE OF STRUCTURE ' X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —,)4- STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 'g LK ESTIMATED COST OF CONSTRUCTION $ —3-'? AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: C, FRONT > � SIDES 0 , �s°n.' REAR 2/9 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. F AG Buildings greater than 1000 sq. ft. in floor area shall be located a,minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ; USGS Datum. r F� �-- I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date E� �� _— Signature of Owner Permit- $60.00 The above described AG Building Is exempt from a building permit. � Receipt No. FLOOD PAL '`\ Manager Building Division �. By Date White - DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant P.D. ROOFING /ISSUE '`\ Manager Building Division �. By Date White - DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant -BUILDING DIVISIONlik COUNTY OF BUTTE -'DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT (PERMIT NO. �3w Agricultural building is defined as follows: Agricultural building -is a structure designe nd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of, human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO... /1 ,r FLOOD ZONING j OWNER'_R C l .i2 LL, ✓ISSUE PHONE NO. l ,� OWNER'S ADDRESS c LOCATION OF etl LDING AA USE OF BUILDING e..� 1f3 v SIZE OF STRUCTURE ' X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —)L— STEEL CONCRETE OTHER (Specify) y TYPE O(F, SIDING ROOF COVERING FLTYPE f jjfa t • 10 K -t 9 CO�OR rw7 ESTIMATED COST OF CONSTRUCTION $� AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES `. REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner C Permit Tee - 560.00,- The above described AG Building is exempt from a building permit. �\ Receipt No. ,� ' � Allanager Building Division ' By -' Date White —DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant FLOOD PARCEL P.D. ROOFING ✓ISSUE � Allanager Building Division ' By -' Date White —DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant + . y ►sof i % �� ` t dire �^ , ?Yi r i J s i s N . " { ,E,�;i.,.. �i{L'�'J ti^moi f � iP',:Si js ..t'S,a?�`' : �,�,.••� �" " "�rt, :t `�Fo`"T'"4S`1�'tc 7+' �r�':. �itiy. ��.i*• y T :.�. v*f• COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ---------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ----------- El10. Fees of $ ----------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.--------------------------------------------------------. ❑ 12. California Department of Forestry plan approval/fees. ------------------------------------------------- ❑ 13. Flood elevation certificate. -------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ----------------------------------- ❑ 15. City of Chico plumbing permit.--------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ------------------ ❑ 18. Contact Land Development about 0, Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------ 024. Letter of signature authorization.------------------------------------------------------------------ ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. - 026. Letter of intent on building use. ---------------------------------. ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: ,- a9 9 When you issue the permit, process as follows ❑ Telephone and hold for pickup at tor. U 1 I ,e- office. ❑ Deliver with inspector. (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 ROBERT DONNELL 279 TABLE MOUNTAIN BLVD. OROVILLE, CA 95965 aj COUNTY OF BUTTE - DEPARTIIENT OF DEVELOPMENT SERVICES, BUILDING DIVISION r� 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 -/ ROGER DONNELL ' 279 TABLE MTN BLVD. s OROVILLE, CA 95965 AG EXEMPT PERMIT #97-38 APRIL 14, 1997 RE: 072-310-014 DATE: A.P. # With reference to the above subject: Attached is: Application for permit Building Plans - Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Inf.ormat;ion Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete.plans, 3/4 sets, signed by preparer of plans.. - Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation.'= Statement of Intent for•Non-Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of -Forestry plan approval/fees. F.E'.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or,engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 509s subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: A DETAILED WRITTEN DESCRIPTION OF THE PROPOSED USE OF THE BUILDING FOR FURTHER CONSIDERATION - Should you have any questions concerning the above, please contact of this office. Yo s very t , is el C. Vieira, C.B.O. MCV:ahb Man ger, uilding Inspection -•,* PEaRO.)- 2738-79B,P,E,M PERMIT EXPIRES ~.OWNER Virgil Medley CONTR. owner nX 72-31-14 LOCATION (A.P. ) W/S Fotastown Rd., 4 mi.So.of Feather Falls & Forbestown Rd.junction, Feather Fall Temp. Power Pole Called PG&E 9fn 4 Temp. Elec. Serv. e Called PG&E Temp. Gas Serv. Called PG&E JOB FINAL (Dat (Signature) �t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING 9lJILDING /Cnnt'rtl Setback Forms Main Bldg. Footings Stemwal I Slab Piers —, Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel H Stucco Itl• PLUMBING rewa Soil Piping 140 reA?S Parapets 1st Floor Restroom Finish 2nd Floor _ Windows "S 3rd Floor Siding C -•J To out Roof SheatW[n Water Piping Roofing Sewer Fdn. Vents -.. Fixtures -2 Garage Vents 'P"`— Insulation qHeaters Water Htr. ' Prov, for phsically handica ed Conformance of ex. structure A liances Piping & Test mo. Gas FIREPLACE Final -6–Ir GC Footing Qg ELECTRICAL Throat '� l Rough Final Fixtures f C FIRE SPRINKLERS Motors Mesh MECHANICAL Grd. Fault Prot. C - Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer ^3– Final Final -- •- MOBILEHOMEUTILITIES------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 6 REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) s RESIDENTIAL iv#406049 ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREENTS HAVE BEEN INSTALLED'IN CONFORMANCE WITH -CURRENT ENERGY CONSERVATION REGULATIONS AT 72.59 Y �� G ovi �l l a CA 95g,65 (location) BUILDING PERMIT NO. _2 %• -S r 72&"/;fA.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. '/V Fdn. Walls ., Floors Walls CeilingARoo€ =26 Ducts 94 Circulating Pipes_ APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed /{,,¢- Special (Insulated) CERT. & LABELED WDS. �y & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS__/ INTERMITTENT IGNITION DEVICES CERT. APPLIANCES ��-- .Attic — UNIT1,i2. (ce.11ulo:s'e fiber) — R Value: -R,26 I DECLARE THAT ALL REQUIRED ITEMS 0,,NOTED ABOVE HAVE BEEN INSTALLED _ IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name _Al_I_ Plea ithr Tn-sulation 8c Sound Proofing Signature of_ (please print) Insulation Applicator . � /_, )2=" - State Contractors 4 License No. l_2,rZC j 7 Gen.eraLQ.ontxact o.r/(X,mer Name Virgil rued (pleaseS pri t) Signature of Gem-a4--Ge33•t-reet-or-/Owner Date THIS CERTIFICATE MUST BE ON FILE WITH HE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN -THE DWELLING. COUNTY OF BUTTE — DEPART,Mr=NT OF PUBLIC WORKS 7 County Center Drive — 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT C,2 BUILDING Owner 1 P—Gi L— M ET GE SQ. FT. OCC. BUILDING VALUATION Z � do O Mailing Address �'�'S �� •Z Telephone No. B Contractor Address Fireplace IMailing Total Valuation Telephone No. Permit Fee Building Addressltl Plan Checking Fee&/or Penalty Permit Fee 1 `2� v "i AD PLUMBING No.1 @ FEE -0 PERMIT FILING FEE $3.00 Each Trap 1.50 R pair drainage or vent piping 1.50 A. P. No. �2^�' — 2 $ Zoning & Plan ng ater piping 1.50 Each gas water heater or vent 1.50 O�,Q F W. S on Fire Dept. FireZonq Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Parcel wroval Plans A ,oval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ O ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 5_&Cn� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 500v OR LESS 5.00 100 AMP Main service A EA. ADD -L to0o0 AMP 2.50 Main service OVER 500V 25.00 100 AMP OR LESS EA. ADD•L 100 AMP 1,00 Main serviceNEW CONST.( OR ADONS. \ ACCLBLDGS N)J 120sqft `70 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: NEW CONSTR MULTI.OU LET NON.RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. /POWER APPARATUS B NON.RESID. %SINGLE OUTLET CIR. Ex. OCCUp(ouTLETs OR FIXTIIRES 50@254t BAL@1 Ex. QCCU / FIXED APPLNS, OR P•\OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 91 am exempt from the Contractors License Laws of the State of California. Permit Fee $ %5330 $ 'T( WORKMEN'S COMPENSATION INSURANCE 1 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 011/1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ tP:o $ (� 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 Land Development Fee $ TOTAL PERMIT FEE e�r� ��• authorLC represenLaLIVCS 01 the County of Butte to enter upon the above-mentioned property for inspection purposes. X ` Date Sig re o Permitee or Agent Receipt No. — 0-3.9-Ot White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 0 PUBLIC WORKS BY Date Building permit expires Date i )WNER �. GENERAL <1. Zoning requirements Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit #_C'97 A.P. 3/-1 < (sideyards and parking). or Architect (if required). 3. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or' structures. Grading, fills, drainage. 2 - FLOOR PLAN "Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). i3..— Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical.equipment. 09/ Locations of water heater,. heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. ,1�9-: Garage firewall, door size, and closer (Sec. 503(d)(4)). jx. 1 - 3'0" exterior exit door (Sec. 3303d). le: Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ,oe' Foundation plan complete enough to construct building. fir► Floor construction details complete enough to construct building. /► Elevations and wall construction details complete.enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. - Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on. exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). f Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Q Living area over garage- complete 1 -hour separation required including supporting 11 walls and posts, etc. Two (2)exits on three-story dwellings (Seca 3302). NOTE ---All Materials & Accordah'ce with Rec;:;,ji of a quality prescribe Uniform Building, Plurn' Jin; the National Electrical Cc A Good Practices and L RIO Specified use in the Mechanical Codes -and This set of plans a speci ons MUST ge kept on the job at oil times and it is unI-a—w-fu-TTo- makoanvchanoesorki"-r-.--r--";L--:;�--mAse! ew;ik written permission from. the Daparfrnent of 'Public Works, County .of.Buffe.,--. 116 Aide L7 v I /f 9 PIMA.,— Imm - - . BLffTE C41 N'i'b BUILDNG "DEPARTN APPROVED The minimum STATE RESIDENTIAL ENERGY 'REQUIREMENTS for4his building of .. MOR ...... sq. ft. 0 �a-nq#' I& DesignTorp . are.:_ Insulaflon: S!!7,b edge-' so. ff.— Wails S f i. — =22 o, Fivois Ceiling/Roof - - - - - — ISP Circul.-Hrig pipes d AA, Duch Tai_;t, 10-D UJA7. Hf g. & A Q- Ez. -.-z e- �t�i ni�flon_ Type 'Alt BTU All Appliarr., -certified. Cos W Hfr 0 CT I Af I Fol, BU El C .00V f V.E D- R R 7, PIN %i. - � lC�l ± I, 1 `t '- -_ - -- - - HEA vkf ,R J �� - -- -- - - f S • v,. 1 For • , } `7�f} DSR :w ._ - - '----.•.�_ �. � n ' .. .. � •. 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Set acl� sh II be e .rop6rt lin arid S0 � f -am! the a fe me 6-f t�e ad, perm ing! a maxi! ► i . _ _ .._ _ . j. t t _ -► -- _ :_►: _ _ _ ! _ �.. _ ' _ _ .I _ _ i. _.1. _I_ . ;-- i i IT! MA f.ft: ea a o�erh�n 'bet#=entirely I-- ' ouo .alb eas Me 'nts.� e4 n. 6iuifc�� - - _ i , ► E 11 64 stjub. >it to 6e as peg $ ffe C unga th De . ! Re Sire ensu.._Y. i. p :OUT -TE GOom I Y BUILD# G DEPARTMENT 3Y 1% .. C _ r' Tl �! C �%1+3C �5:��r> q�� D c.i��Y /G�: % .�r�'`: • �e� Cry{%� c% � �' m v � - C Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 �'/PHONE: 916-534-4541 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information DATE RE: A. P. # 7 —31– ly Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER /&/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil engineer or architect. Engr. calcs. sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 695 Oleander Ave., Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Copy of recorded parcel declaration. Recorded copy of deed showing 80 7— Should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Publi Works Glan er JFG:dd Chief Building Inspector •�ftl - r �C m r ' CpLWT t JUN 1 0 2005 DEVELOP WNT SERVICjS BUTTE COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH 7 County Center Drive, Oroville, CA 959.65 (530)'538-7281. Fax (§30) 538-7785 PRE APPLICATION REVIEW (Please check appropriate box) Q Tentative Subdivision 0 Tentative Parcel Map ❑ use Permit ❑ Lot Line Adjustment Other fia4,-LYIPV� Location of Property Q, 31 i 6wu Assessoes Parcel Number Project Description 04 1 NiAfA - , _b &M& fa — j Applicant: I NG ,rJ/e,�7L� Phone -Number. Address:_ ._... .......... ... ---..... Owner - - Phone Number Address Engineer or Surveyor . 9 Y Phone Number • Address Mail Correspondence To. Health Department Use Only Fee Paid Q® Receipt Number x.10 Date_ (n /p O EHS n rn BA7,ANCE DUEA Planning Department -Signature o _ r . � }' ``;�� _ S 1TE ;PLAN- � . � • - . _ _ .. . _ . . . . . .......... . ....... .... ....... ............. . ...... ....... . ..... ............. 0.0 ........... . . . . . ........ ............. ........ . ... . .... . . ........ . ... . ......... . ..... .... ..... .......... ....... ... . .... f ...... 3 ..... . . ...... ............ ..... ........ Lo .... ...... ...... —3 --of . . ........ .... ... IL ........... ....... .......... ...... epJ�-44. :LINE; . ..... o ... . . ..... . . ..... '54 WAX r ... ..... .. .... .... ...... . ...... . ... . . ...... . . ..... . ... . . C A "e ..... .... . : . . ......... . . ... . ..... ..... . ........ ......... ........... . ......... . . ....... ........... . . . . . . . . . .. .. ...... ..... . ...... . ..... .......... . ..... . . ..... . ..... ..... ..... . . ....... ... . . ..... I ...... Ij ..... I ...... 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